Active NPI
Brenden Barton
- Foot & Ankle Surgery Podiatrist
- Fort Dodge, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 109552
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 71 |
| Removal of skin lesions | 11 |
| Removal of nail tissue | 199 |
| Removal or shaving of skin growth | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109552 | IA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard a. Nichols D P M P a | Foot & Ankle Surgery | Current | Accepting new patients |
| Richard a Nichols, DPM, PA | Foot & Ankle Surgery | Current | 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
- https://api.platform.athenahealth.com/20301/brand/1/csg/1/fhir/r4
- 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.
-
- Foot Surgery Podiatrist
- Grapevine, TX
- NPI 1083804298
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Keller, TX
- NPI 1134455256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.