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NPI Code Detail

MEDICARE: BRADEN PARTNERS LP

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
1332BX2000XOxygen Equipment & Supplies (DME)

Other Identifiers

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

General Provider Information

NPI Number : 1235161316
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRADEN PARTNERS LP
Provider Business Mailing Address
First Line : 220 W GERMANTOWN PIKE STE 250
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1437
Country : US
Telephone Number : 610-630-6357
Fax Number :
Provider Business Practice Location Address
First Line : 595 E BROOKS AVE STE 301
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-3975
Country : US
Telephone Number : 702-309-9582
Fax Number : 702-309-4331
Authorized Official
Title or Position : CEO
Name : STEPHEN GRIGGS
Credential :
Telephone Number : 407-206-0040
Provider Enumeration Date : 07/07/2006
Last Update Date : 04/25/2021

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Directions to “BRADEN PARTNERS LP ” Practice Location

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