Braden Partners LP

Key facts

NPI

1346353729

Entity type

Organization (NPI type 2)

Primary specialty

Oxygen Equipment & Supplies (DME) 332BX2000X

Legal business name

BRADEN PARTNERS LP

Practice address

1241 E Lumbermans Loop
Ste 3
Show Low, AZ 85901-5318

Phone

(928) 532-8564

Fax

(928) 532-8568

NPI assigned

Aug 17, 2006

Organization subpart

No

Authorized official

Name

Jane L Thomas

Title

Chief Executive Officer

Phone

(415) 893-1518

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Pacific Pulmonary Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 10, 2015.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1346353729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 HARRIS RD",
            "address_2": "UNIT 204",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118990",
            "telephone_number": "661-396-3720",
            "fax_number": "661-832-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E LUMBERMANS LOOP",
            "address_2": "STE 3",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015318",
            "telephone_number": "928-532-8564",
            "fax_number": "928-532-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "L",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410781",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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