NPI 1003590373 · live from the CMS NPI Registry
Brayden Humpherys, DPM
Podiatrist, Foot & Ankle Surgery in Fort Dodge, IA. National Provider Identifier 1003590373, active.
NPI record
| NPI | 1003590373 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 804 Kenyon Rd Ste 310, Fort Dodge, IA 50501 |
| Practice phone | 515-302-8700 |
| Mailing address | 1301 10th Ave Nth, Fort Dodge, IA 50501 |
| Enumerated | June 14, 2023 |
| Last updated | June 14, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 121012 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.