IndividualActive
Carl Brayton, DO
NPI 1003617192 · Student in an Organized Health Care Education/Training Program · Idaho Falls, ID
Provider details
- NPI number
- 1003617192
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.