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	:	1588993356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADEN PARTNERS LP

Provider Business Mailing Address
First Line	:	8730 HARRIS RD
Second Line	:	UNIT 204
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-8990
Country	:	US
Telephone Number	:	661-396-3720
Fax Number	:	661-832-6009

Provider Business Practice Location Address
First Line	:	2724 S 3600 W
Second Line	:	STE A
City	:	WEST VALLEY
State	:	UT
Zip	:	84119-6743
Country	:	US
Telephone Number	:	801-969-0165
Fax Number	:	801-969-0852

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JANE L THOMAS
Credential	:
Telephone Number	:	415-893-1518

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	08/26/2013

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