Individual provider Active NPI

Brenden Barton

  • Foot & Ankle Surgery Podiatrist
  • Fort Dodge, IA
National Provider Identifier
1134799588
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
109552 Issued in IA
Practice address
804 Kenyon Rd
Fort Dodge, IA 50501-5742
Phone
(515) 574-6880
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 109552 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Fort Dodge, IA 50501-5742

Mailing address

1617 N 27TH St
Fort Dodge, IA 50501-7935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218002355 TX Practitioner - Podiatry 6901208909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona Podiatric Med Program at Midwestern Un, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard a Nichols DPM P aGroup PAC ID 8325010762, 2 clinicians

Practice addresses (Care Compare)

1141 Keller Pkwy
Suite C
Keller, TX 76248-1628
Phone (817) 741-4800

1600 Lancaster Dr
Suite 102
Grapevine, TX 76051-3579
Phone (817) 481-4000

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of skin lesions11
Removal of nail tissue199
Removal or shaving of skin growth60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109552IAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Nichols D P M P a Foot & Ankle Surgery CurrentSince Feb 14, 2025 Accepting new patients
Richard a Nichols, DPM, PA Foot & Ankle Surgery CurrentSince Feb 14, 2025 Accepting new patients

Locations

1600 Lancaster Dr
Ste 102
Grapevine, TX 76051
Phone (817) 481-4000

1141 Keller Pkwy
Ste C
Keller, TX 76248
Phone (469) 930-4655

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20301/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1134799588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N 27TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "BRENDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "109552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.