Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADEN RUSS BRKLACICH, DPM
ActiveDR. BRADEN RUSS BRKLACICH, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in RIVERTON, Utah. NPI 1609397207 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · RIVERTON, UT
Registration Details
- NPI Number
- 1609397207
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2017 (9.0684001333512 yrs)
- Last Updated
- Feb 22, 2021
- License
-
10861469-0501 (UT)
Practice Information
- Address
-
12523 S CREEK MEADOW RD STE 105RIVERTON, UT, 840657299Browse UT providers · Browse ZIP 84065
- Phone
- 8012536886
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in RIVERTON, UT
| Name | Credential | NPI |
|---|---|---|
| ROBERT JOSEPH LIDDIARD | DPM | 1588004865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.