MEDICARE: BRETT AARON MCFADDEN MD

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	207R00000X	Internal Medicine Physician	M1919	TX
2	208M00000X	Hospitalist Physician	24681	OK
3	208M00000X	Hospitalist Physician	M1919	TX

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	:	1295721793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT AARON MCFADDEN MD

Provider Business Mailing Address
First Line	:	112 BENT TRAIL DR
Second Line	:
City	:	MCGREGOR
State	:	TX
Zip	:	76657-3805
Country	:	US
Telephone Number	:	254-304-1728
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 BENT TRAIL DR
Second Line	:
City	:	MCGREGOR
State	:	TX
Zip	:	76657-3805
Country	:	US
Telephone Number	:	254-304-1728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	12/21/2023

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Directions to “ BRETT AARON MCFADDEN MD” Practice Location

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