NPIMap

Organization Active NPI

Braden Partners LP

Doing business as Pacific Pulmonary Services

  • Oxygen Equipment & Supplies (DME)
  • Gardnerville, NV
National Provider Identifier
1114940525
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BRADEN PARTNERS LP
Doing business as
Pacific Pulmonary Services
Practice address
1415 Industrial Way
Suite H
Gardnerville, NV 89410-5740
Phone
(775) 782-5822
Fax
(775) 782-7422
NPI assigned
Jul 26, 2006
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Christopher M Kane
Title
Chief Executive Officer
Phone
(415) 893-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

1415 Industrial Way
Suite H
Gardnerville, NV 89410-5740

Mailing address

4300 Stine Rd
Ste 800
Bakersfield, CA 93313-2354
Phone (661) 396-3720

Other identifiers 1

IdentifierTypeStateIssuer
003303015MedicaidNV

Other names 1

  • Pacific Pulmonary Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Med-Mart66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1415 Industrial Way
Ste H
Gardnerville, NV 89410
Phone (775) 782-5822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1114940525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 STINE RD",
            "address_2": "STE 800",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132354",
            "telephone_number": "661-396-3720",
            "fax_number": "661-832-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 INDUSTRIAL WAY",
            "address_2": "SUITE H",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105740",
            "telephone_number": "775-782-5822",
            "fax_number": "775-782-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-893-1518"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003303015",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.