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NPI Code Detail

MEDICARE: DR. JOHN E BRADEN MD

MEDICARE:  DR. JOHN E BRADEN  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
1207P00000XEmergency Medicine PhysicianME67031FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
226229OTHERFLDR BRADEN'S BCBS FL #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811991656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN E BRADEN MD
Provider Business Mailing Address
First Line : 701 MINORCA AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-3758
Country : US
Telephone Number : 786-662-5252
Fax Number : 888-960-8940
Provider Business Practice Location Address
First Line : 6200 SW 73RD ST
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-4679
Country : US
Telephone Number : 786-662-5252
Fax Number : 888-960-8940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 10/18/2021

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Directions to “ DR. JOHN E BRADEN MD” Practice Location

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