Individual provider Active NPI

Brennan M Haraden, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1063410355
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34673 Issued in KY
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

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64003247MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100724000216 KY Practitioner - Cardiovascular Disease (Cardiology) 8820176902 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

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 Hospital, Louisville, KY, CCN 180130
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Dec 15, 2010 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 15, 2010 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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

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

Verify at the official NPI Registry.