Braden Family Medicine, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1510 Issued in TN

Legal business name

BRADEN FAMILY MEDICINE, PLLC

Practice address

7701 Corryton Rd
Corryton, TN 37721-2630

Phone

(865) 247-6263

Fax

(865) 247-6418

NPI assigned

May 24, 2012

Last updated

May 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe M Braden, PA-C

Title

Owner/Member

Phone

(865) 247-6263

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jane Harlan, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1407874860
  NPD

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1134489024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377210108",
            "telephone_number": "865-247-6263",
            "fax_number": "865-247-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 CORRYTON RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377212630",
            "telephone_number": "865-247-6263",
            "fax_number": "865-247-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "865-247-6263",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1510",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD48081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Apa
• Mackenzie Armstrong, PA-C
• Kristle Ball, CMA
• Karen Phillips Beets, F.N.P.
• Mariah Kay Brown
• Wendy Buchheit
• Laura Michele Cadle, PHARMD
• Brett P Carter, PHARMD
• Jason Chen

• Physician Assistant in Corryton, TN
• Providers in Corryton, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.