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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982627311
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	:	8101 AIRPORT BLVD
Second Line	:	SUITE D
City	:	HOUSTON
State	:	TX
Zip	:	77061-4143
Country	:	US
Telephone Number	:	713-649-9100
Fax Number	:	713-649-9190

Authorized Official
Title or Position	:	CEO
Name	:	STEPHEN GRIGGS
Credential	:
Telephone Number	:	407-206-0040

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	04/25/2021

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