Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Bryan Booth, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1659020949

Mitchell Bryan Booth, DPM is a Podiatry in Medford, Oregon. Qualified in 2022, 4 years ago. Practices with Southern Oregon Foot and Ankle LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1904 E Barnett Rd
Medford, OR 97504-8262
Phone: (541) 776-3338
Fax: (541) 776-4979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP224114 (OR)

Record details

NPI number1659020949
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address2307 W Joyli Cir, West Jordan, UT 84088-7652

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern Oregon Foot And Ankle Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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