Braden Partners LP

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BRADEN PARTNERS LP

Practice address

755 Fiero LN
Ste G
San Luis Obispo, CA 93401

Phone

(805) 594-5501

Fax

(805) 594-0601

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Luke McGee

Title

Chief Executive Officer

Phone

(646) 880-0473

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1346354669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CALIFORNIA AVE STE 310",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090728",
            "telephone_number": "661-665-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 FIERO LN",
            "address_2": "STE G",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-594-5501",
            "fax_number": "805-594-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-880-0473"
    },
    "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": "DME01925F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Bouskos
• Veronica Carlotta Bowden
• Taryn Bowles
• Michelle Bowlin
• Mandy Ann Boyle, DC
• Bradley Kovach OD a Professional Optometric Corporation
• Katrina Bradshaw
• Dillon Silvano Brady
• Madeline Bragg
• Kenneth Aaron Brandstetter, B.S.

• Oxygen Equipment & Supplies (DME) in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.