BRAYDEN KAY WADDOUPS
NPI 1992662100
Student in an Organized Health Care Education/Training Program in Rexburg, ID

Active since January 08, 2026
393 E 2ND N, REXBURG, ID 83440(208) 359-4840(208) 359-9010 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brayden Kay Waddoups NPPES

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

BRAYDEN KAY WADDOUPS (NPI 1992662100) is an individual student in an organized health care education/training program in Rexburg, Idaho and active in the NPI registry since January 2026. He maintains a secondary practice location in Ammon.

NPPES Registry Identity

NPI1992662100
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAYDEN KAY WADDOUPS
Location Address393 E 2ND NRexburg, ID 83440-1605
Mailing Address393 E 2nd NRexburg, ID 83440-1605 · (208) 359-4840 · Fax (208) 359-9010
Fax(208) 359-9010
Sole ProprietorYes
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
NPI 1992662100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
393 E 2ND N, Rexburg, ID 83440

Secondary Practice Location 1

Location 13453 Clearview LnAmmon, ID 83406-4702 · Phone (208) 359-4840 · Fax (208) 359-9010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Occupational Therapist
393 E 2ND N
REXBURG, ID 83440
Nurse Practitioner
393 E 2ND N
REXBURG, ID 83440
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Marriage & Family Therapist
393 E 2ND N
REXBURG, ID 83440
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Dietitian, Registered
393 E 2ND N
REXBURG, ID 83440

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 Brayden Waddoups's NPI number?

The NPI number for Brayden Waddoups is 1992662100. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Brayden Waddoups located?

Brayden Waddoups practices at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 359-4840.

What is Brayden Waddoups's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brayden Waddoups was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.