Braden Partners LP

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BRADEN PARTNERS LP

Doing business as

Pacific Pulmonary Services

Practice address

3330 Durahart St
Riverside, CA 92507-3469

Phone

(951) 222-2007

Fax

(951) 222-2025

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Jane L Thomas

Title

Chief Executive Officer

Phone

(415) 893-1518

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Pulmonary Services Doing business as

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1508899386",
    "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": "3330 DURAHART ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073469",
            "telephone_number": "951-222-2007",
            "fax_number": "951-222-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "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": "DME03095F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geraldine Tatline Bracy
• Christopher Mark Bradburne, MD
• Richard M. Bradburne, MD
• Breanne Bradbury, CADC-1
• Steven M Bradbury
• Desiree Fajayan Bradford, MOTR
• Jordan Bradford
• Philip A Bradford, DDS
• Camillia Bradley
• Daizhane Bradley

• Oxygen Equipment & Supplies (DME) in Riverside, CA
• Providers in Riverside, 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 Sep 10, 2015; 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.