Organization Active NPI

Braden Partners LP

Doing business as Pacific Pulmonary Services

  • Oxygen Equipment & Supplies (DME)
  • Salem, OR
National Provider Identifier
1134233471
Registry record updated Apr 25, 2021
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
1995 16TH Street NE
Ste 101
Salem, OR 97301-0458
Phone
(503) 763-1221
Fax
(503) 763-1991
NPI assigned
Aug 17, 2006
Last updated
Apr 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Authorized official

Name
Stephen Griggs
Title
Ceo
Phone
(407) 206-0040

Specialties & licenses 1

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

Addresses

Primary practice location

1995 16TH Street NE
Ste 101
Salem, OR 97301-0458

Mailing address

220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Phone (610) 630-6357

Other identifiers 1

IdentifierTypeStateIssuer
269071MedicaidOR

Other names 1

  • Pacific Pulmonary Services Doing business as

National Provider Directory

National Provider Directory

Locations

1995 16th St NE
Ste 101
Salem, OR 97301
Phone (503) 364-0107

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619308800000",
    "number": "1134233471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437",
            "telephone_number": "610-630-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 16TH STREET NE",
            "address_2": "STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010458",
            "telephone_number": "503-763-1221",
            "fax_number": "503-763-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "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": "269071",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.