Active NPI
Braden Douglas Parmer, MD
- Family Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11017886A
- Practice address
- 750 Broadway
Suite 350
Fort Wayne, IN 46802-1411 - Phone
- (260) 423-2675
- Fax
- (260) 399-4243
- NPI assigned
- Jun 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32999 | OK | |
| Family Medicine Physician | 207Q00000X | 11017886A | IN | Primary |
Addresses
Primary practice location
750 Broadway
Suite 350
Fort Wayne, IN 46802-1411
Mailing address
750 Broadway
Suite 150
Fort Wayne, IN 46802-1411
Phone (260) 423-2682
Other practice location 1
3204 Medical Park Dr
Shawnee, OK 74804-5014
Phone (405) 878-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Phone (405) 273-5236
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone (405) 964-4025
Hospital & facility affiliations
- Centric Home Health
- SSM Health St Anthony Hospital - Shawnee
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 81.18
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 72.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| Citizen Potawatomi Nation | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| Fort Wayne Medical Education Program | Family Medicine | Past | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025
Interoperability endpoints
- https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
- Federally Qualified Health Center (FQHC)
- Shawnee, OK
- NPI 1194752949
-
- Chiropractor
- Shawnee, OK
- NPI 1427659523
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1184635153
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durant, OK
- NPI 1407202740
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346655339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BROADWAY",
"address_2": "SUITE 150",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021411",
"telephone_number": "260-423-2682",
"fax_number": "260-422-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 BROADWAY",
"address_2": "SUITE 350",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021411",
"telephone_number": "260-423-2675",
"fax_number": "260-399-4243"
}
],
"practiceLocations": [
{
"address_1": "3204 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Shawnee",
"state": "OK",
"postal_code": "748045014",
"country_code": "US",
"telephone_number": "405-878-6800",
"fax_number": "405-878-6831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARMER",
"first_name": "BRADEN",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "32999",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11017886A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.