Organization Active NPI

Braden Partners LP

Doing business as Pacific Pulmonary Services

  • Oxygen Equipment & Supplies (DME)
  • Roseburg, OR
National Provider Identifier
1538171533
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BRADEN PARTNERS LP
Doing business as
Pacific Pulmonary Services
Practice address
864 Buckhorn Rd
Ste 101
Roseburg, OR 97470-4500
Phone
(541) 677-7310
Fax
(541) 677-7320
NPI assigned
Aug 12, 2006
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Yehoshua Parnes
Title
Chief Executive Officer
Phone
(415) 893-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

864 Buckhorn Rd
Ste 101
Roseburg, OR 97470-4500

Mailing address

8730 Harris Rd
Unit 204
Bakersfield, CA 93311-8990
Phone (661) 396-3720

Other identifiers 1

IdentifierTypeStateIssuer
028429MedicaidOR

Other names 1

  • Pacific Pulmonary Services Doing business as

National Provider Directory

National Provider Directory

Locations

864 Buckhorn Rd
Ste 101
Roseburg, OR 97470
Phone (541) 677-7310

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1538171533",
    "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": "864 BUCKHORN RD",
            "address_2": "STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704500",
            "telephone_number": "541-677-7310",
            "fax_number": "541-677-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PARNES",
        "authorized_official_first_name": "YEHOSHUA",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028429",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.