Healthcare Provider Details

I. General information

NPI: 1508899386
Provider Name (Legal Business Name): BRADEN PARTNERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 DURAHART ST
RIVERSIDE CA
92507-3469
US

IV. Provider business mailing address

8730 HARRIS RD UNIT 204
BAKERSFIELD CA
93311-8990
US

V. Phone/Fax

Practice location:
  • Phone: 951-222-2007
  • Fax: 951-222-2025
Mailing address:
  • Phone: 661-396-3720
  • Fax: 661-832-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JANE L THOMAS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 415-893-1518