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NPI Code Detail

MEDICARE: MAX DAVID BRADEN D.C.

MEDICARE: MAX DAVID BRADEN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0017NM

General Provider Information

NPI Number : 1184593394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAX DAVID BRADEN D.C.
Provider Business Mailing Address
First Line : 3729 LONESOME RIDGE ST NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-3721
Country : US
Telephone Number : 830-431-6150
Fax Number :
Provider Business Practice Location Address
First Line : 8001 WYOMING BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-2009
Country : US
Telephone Number : 830-431-6150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2025
Last Update Date : 11/04/2025

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Directions to “ MAX DAVID BRADEN D.C.” Practice Location

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