Active NPI
Brennan M Haraden, MD
- Cardiovascular Disease Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 34673
- Practice address
- 3900 Kresge Way
Suite 60
Louisville, KY 40207-4660 - Phone
- (502) 893-7710
- Fax
- (502) 893-1884
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 34673 | KY | Primary |
Addresses
Primary practice location
3900 Kresge Way
Suite 60
Louisville, KY 40207-4660
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 893-7710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64003247 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bharaden9986@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Alabama School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10216 Taylorsville Rd
Suite 850
Louisville, KY 40299-3681
Phone (502) 240-0315
1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-3255
3900 Kresge Way
Louisville, KY 40207-4681
3900 Kresge Way
Louisville, KY 40207-4690
3950 Kresge Way
Louisville, KY 40207-4637
4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700
Hospital & facility affiliations
- Baptist Health Louisville
- Baptist Health Lagrange
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Norton Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1919 State St
Ste 22
New Albany, IN 47150
Phone (812) 944-5255
3900 Kresge Way
Ste 60
Louisville, KY 40207
Phone (502) 893-7710
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
2400 Eastpoint Pkwy
Ste 580
Louisville, KY 40223
Phone (502) 893-7710
4003 Kresge Way
Ste 300
St Matthews, KY 40207
Phone (502) 893-7710
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063410355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-893-7710",
"fax_number": "502-893-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY",
"address_2": "SUITE 60",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074660",
"telephone_number": "502-893-7710",
"fax_number": "502-893-1884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARADEN",
"first_name": "BRENNAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2023-03-07",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "34673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64003247",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bharaden9986@bhkydirect.com",
"affiliation": "N",
"address_1": "3900 Kresge Way",
"address_2": "Suite 60",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402074660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.