MEDICARE: BRADEN PARTNERS LP

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215041306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADEN PARTNERS LP

Provider Business Mailing Address
First Line	:	4300 STINE RD
Second Line	:	STE 800
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-2354
Country	:	US
Telephone Number	:	661-396-3720
Fax Number	:	661-832-6010

Provider Business Practice Location Address
First Line	:	2839 WHIPPLE RD
Second Line	:	SUITE B
City	:	UNION CITY
State	:	CA
Zip	:	94587-1233
Country	:	US
Telephone Number	:	510-489-2830
Fax Number	:	510-489-2477

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	CHRISTOPHER M KANE
Credential	:
Telephone Number	:	415-893-1518

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	03/29/2011

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Directions to “BRADEN PARTNERS LP ” Practice Location

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