Healthcare Provider Details

I. General information

NPI: 1760654388
Provider Name (Legal Business Name): BRADEN MED SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44519 MARIETTA RD
CALDWELL OH
43724-9209
US

IV. Provider business mailing address

44519 MARIETTA RD
CALDWELL OH
43724-9209
US

V. Phone/Fax

Practice location:
  • Phone: 740-732-7201
  • Fax: 740-732-2377
Mailing address:
  • Phone: 740-732-7201
  • Fax: 740-732-2377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberHMEL11070
License Number StateOH

VIII. Authorized Official

Name: DIANE R BRADEN
Title or Position: VICE PRESIDENT / OWNER
Credential:
Phone: 740-732-7201