IndividualActive
Braden Jenkins, DPM
NPI 1609337682 · Foot & Ankle Surgery Podiatrist · Ammon, ID
Provider details
- NPI number
- 1609337682
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- NA (UT)
Mailing address
2677 E 17th St Ste 200
Ammon, ID 83406-6612
Registry dates
- Enumerated
- 2019-03-30
- Last updated
- 2025-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.