Healthcare Provider Details

I. General information

NPI: 1265061410
Provider Name (Legal Business Name): BRAYDEN MORRISON EFSEROFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3526 PRESTON HILLS CIR
PROSPER TX
75078-9311
US

IV. Provider business mailing address

3526 PRESTON HILLS CIR
PROSPER TX
75078-9311
US

V. Phone/Fax

Practice location:
  • Phone: 972-832-1075
  • Fax:
Mailing address:
  • Phone: 972-832-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number206335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: