DR. BRADEN RUSS BRKLACICH DPM
NPI 1609397207
Podiatrist - Foot & Ankle Surgery in Riverton, UT

Q: What is Braden Brklacich's NPI number?

The NPI number for Braden Brklacich is 1609397207. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Braden Brklacich's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Braden Brklacich was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment

12523 S CREEK MEADOW RD STE 105, RIVERTON, UT 84065(801) 253-6886 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2021, Feb 10, 2021, Jul 5, 2017 (3 updates tracked since 2017).

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About Dr. Braden Russ Brklacich Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADEN RUSS BRKLACICH DPM (NPI 1609397207) is an individual foot & ankle surgery provider in Riverton, Utah, licensed in Utah (10861469-0501) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2017).

NPPES Registry Identity

NPI1609397207

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. BRADEN RUSS BRKLACICHCredential: DPM

Location Address12523 S CREEK MEADOW RD STE 105Riverton, UT 84065-7299

Mailing Address1583 E Greenley Hill DrEagle Mountain, UT 84005-3812

Phone(801) 253-6886

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2017

Enumeration DateJuly 5, 2017

Last NPPES UpdateFebruary 22, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2021

✔ NPI 1609397207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in UT · 10861469-0501

12523 S CREEK MEADOW RD STE 105, Riverton, UT 84065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Braden Russ Brklacich Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739594037

PECOS Enrollment IDI20230315002191

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Braden Brklacich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot & Ankle Specialists Of Arizona PLLC

474 mi

Foot & Ankle Surgery

18301 N 79TH AVE STE F168
Glendale, AZ 85308

Reassigned Medicare billing, Arizona enrollment
15 clinicians in this Medicare group

NPI 1316504574 (623) 544-9090

Southwest Foot Institute Inc

487 mi

Primary Podiatric Medicine

926 E MCDOWELL RD, SUITE 121
Phoenix, AZ 85006

Reassigned Medicare billing, Arizona enrollment
11 clinicians in this Medicare group

NPI 1871678979 (602) 340-8686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

1,770 services283 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

935 services287 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

885 services283 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

885 services283 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

662 services205 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

612 services203 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

594 services237 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

566 services194 patients

Preparation of specimen, manual 88381

The preparation of a specimen manually is a procedure where a sample from your body is collected by a healthcare professional. This could be blood, urine, or tissue. The sample is then prepared in a lab for further analysis to help diagnose or monitor your health condition.

444 services283 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

283 services143 patients

Test or measurement for functional capacity, each 15 minutes 97750

This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.

181 services91 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

105 services69 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

82 services82 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

75 services18 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

68 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

50 services32 patients

Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report 88314

This process involves staining tissue samples on slides to highlight different elements and examine them under a microscope. In some cases, the specimen is quickly frozen to preserve its structure. A detailed report is provided after interpretation of the results.

50 services25 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

50 services25 patients

Microscopic genetic analysis of nerve tissue 88356

Microscopic genetic analysis of nerve tissue is a test where a tiny sample of your nerve tissue is examined under a microscope. This helps identify any genetic changes or abnormalities that may be affecting your nervous system's health. The procedure is safe and can provide crucial insights for treatment.

50 services25 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

46 services26 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

33 services25 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

30 services17 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

27 services27 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

27 services27 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

25 services20 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

17 services15 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

17 services17 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

17 services17 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

17 services17 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLSWORTH FOOT AND ANKLE CLINIC

Podiatrist (Foot & Ankle Surgery)

12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065

Salt Lake County (801) 253-6886

ROBERT JOSEPH LIDDIARD DPM

Podiatrist (Foot & Ankle Surgery)

12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065

Salt Lake County (801) 253-6886

ELLSWORTH FOOT AND ANKLE CLINIC

Podiatrist (Foot & Ankle Surgery)

12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065

Salt Lake County (801) 253-6886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Braden Brklacich's NPI number?

The NPI number for Braden Brklacich is 1609397207. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Braden Brklacich located?

Braden Brklacich practices at 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065. The listed phone number is (801) 253-6886.

What is Braden Brklacich's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Braden Brklacich enrolled in Medicare?

Yes. Braden Brklacich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Braden Brklacich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Braden Brklacich reassigns Medicare benefits to 2 organizations: Foot & Ankle Specialists Of Arizona PLLC (Glendale, AZ) and Southwest Foot Institute Inc (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Braden Brklacich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Braden Brklacich accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Braden Brklacich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Braden Brklacich was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.