NPIMap

Organization Active NPI

J. Brad Madden, MD Family Medicine

  • Family Medicine Physician
  • Brandon, MS
National Provider Identifier
1184814980
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J. BRAD MADDEN, MD FAMILY MEDICINE
Practice address
98 Burnham Rd
Suite B
Brandon, MS 39042-2759
Phone
(601) 933-1676
Fax
(601) 933-9781
NPI assigned
Jul 27, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVER OAKS MANAGEMENT COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Brad Sinclair
Title
Credentialing Consultant
Phone
(601) 376-1259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

98 Burnham Rd
Suite B
Brandon, MS 39042-2759

Mailing address

98 Burnham Rd
Suite B
Brandon, MS 39042-2759
Phone (601) 933-1676

National Provider Directory

National Provider Directory
Tax ID family
Care Plus Family Medicine - Highland Colony40 organizations share this tax ID, including this one
Part of
Care Plus Family Medicine - Highland Colony

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

98 Burnham Rd
Ste B
Brandon, MS 39042
Phone (601) 933-1676

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1184814980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BURNHAM RD",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422759",
            "telephone_number": "601-933-1676",
            "fax_number": "601-933-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BURNHAM RD",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422759",
            "telephone_number": "601-933-1676",
            "fax_number": "601-933-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BRAD MADDEN, MD FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER OAKS MANAGEMENT COMPANY, INC.",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "601-376-1259"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.