Terence Patrick Braden III, D.O.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Lakeland, FL
NPI 1457375438 · NPPES record last updated Jul 30, 2022
Key facts
- NPI
- 1457375438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- OS12483 (FL)
- Practice address
- 1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543 - Phone
- (863) 380-6041
- Fax
- (863) 284-1781
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers School of Dental Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Regional Health Systems Inc
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1248
3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565
Attn Managed Care
1324 Lakeland HLLS Blvd
Lakeland, FL 33805-4543
Hospital & facility affiliations
- Vitalcaring Group
- Amedisys Home Health
- Lakeland Regional Medical Center
- Lakeland Regional Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603001109 | FL | Practitioner - Physical Medicine and Rehabilitation | 0446283675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-8253 | AR | MD | Physical Medicine & Rehabilitation Physician |
| OS12483 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current |
Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
1324 Lakeland Hills Blvd
Ofc
Lakeland, FL 33805
Phone (863) 687-1177
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- tbraden17278@lrhs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | N-8253 | AR | |
| Physical Medicine & Rehabilitation Physician | 208100000X | OS12483 | FL | Yes |
Addresses
Primary practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Mailing address
1324 Lakeland Hills Blvd
Attn: Managed Care Dept
Lakeland, FL 33805-4543
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbraden17278@LRHS.direct-ci.com | Direct |
Other providers in Lakeland, FL
- Deborah Beall Boynton
- Evander A Boynton III
- Angelina Boyzo
- Suzanne Brabant
- Domanic Brack
- Glendon Wayne Bradley
- Minu Elizabeth Bradley
- John R Bradshaw
- Kasey Hope Bradshaw
- Wendy Lea Bradshaw
All providers in Lakeland, FL · Physical Medicine & Rehabilitation Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.