BRADEN CARMODY MS, RD, LN
NPI 1700662855
Dietitian, Registered in Marshall, MN

Q: What is Braden Carmody's NPI number?

The NPI number for Braden Carmody is 1700662855. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Braden Carmody's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Braden Carmody was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 05, 2023

300 S BRUCE ST, MARSHALL, MN 56258(507) 532-9661 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Braden Carmody Ms, Rd, Ln NPPES

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

BRADEN CARMODY MS, RD, LN (NPI 1700662855) is an individual dietitian, registered in Marshall, Minnesota, licensed in Minnesota (4881) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1700662855

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameBRADEN CARMODYCredential: MS, RD, LN

Location Address300 S BRUCE STMarshall, MN 56258-1934

Mailing Address3335 17th Ave SwWatertown, SD 57201-6005

Phone(507) 532-9661

Sole ProprietorYes

Enumeration DateSeptember 5, 2023

NPPES CertifiedSeptember 5, 2023

✔ NPI 1700662855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 4881

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

300 S BRUCE ST, Marshall, MN 56258

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braden Carmody Ms, Rd, Ln is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Braden Carmody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Marshall

Same address

Critical Access

300 S BRUCE ST
Marshall, MN 56258

Reassigned Medicare billing, Minnesota enrollment
141 clinicians in this Medicare group

NPI 1568401016 (507) 532-9661

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

Other Providers at the Same Location NPPES 20

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

JULIJANA BOTIC M.D.

Internal Medicine