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

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: August 02, 2026.

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

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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.

Podiatrist (Foot & Ankle Surgery)
12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065
Podiatrist (Foot & Ankle Surgery)
12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065
Podiatrist (Foot & Ankle Surgery)
12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 84065

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.

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.