NPIMap

Organization Active NPI

Braden Partners, LP

Doing business as Pacific Pulmonary Services/Med-Mart

  • Oxygen Equipment & Supplies (DME)
  • Kingman, AZ
National Provider Identifier
1275565350
Registry record updated Aug 22, 2020
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/Med-Mart
Practice address
4520 N Bank St
Ste a & B
Kingman, AZ 86409-2081
Phone
(928) 757-5677
Fax
(928) 757-5805
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yvonne M. Cordoza
Title
VP - Field Services
Phone
(415) 893-1518

Specialties & licenses 1

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

Addresses

Primary practice location

4520 N Bank St
Ste a & B
Kingman, AZ 86409-2081

Mailing address

4300 Stine Rd
Suite 800
Bakersfield, CA 93313-2308
Phone (661) 396-3720

Other names 1

  • Pacific Pulmonary Services/Med-Mart 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

4520 N Bank St
Ste a B
Kingman, AZ 86409
Phone (928) 757-5677

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275565350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 STINE RD",
            "address_2": "SUITE 800",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132308",
            "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": "4520 N BANK ST",
            "address_2": "STE A & B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092081",
            "telephone_number": "928-757-5677",
            "fax_number": "928-757-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOZA",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VP - FIELD SERVICES",
        "authorized_official_telephone_number": "415-893-1518"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services/Med-Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.