Active NPI
Branden Y Itotani, DPM
- Foot & Ankle Surgery Podiatrist
- Waterloo, IA
National Provider Identifier
1861389397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 131939
- Practice address
- 3421 W 9TH St
Waterloo, IA 50702-5401 - Phone
- (319) 272-2112
- NPI assigned
- Jun 18, 2025
- 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 | 131939 | IA | Primary |
Addresses
Primary practice location
3421 W 9TH St
Waterloo, IA 50702-5401
Mailing address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131939 | IA | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- bitotani4456463@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1861389397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITOTANI",
"first_name": "BRANDEN",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IA",
"license": "131939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medicial Foundation
- J.M. Tempel O.D. P.C.
- Sarvenaz Jabbari, M.D.
- Hannah Jackley, BCBA, LBA
- Albert Jerome Jackson Jr., MD
- Aubrey Nicole Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.