Gregory L Braden, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

47681 Issued in MA

Practice address

134 Capital Dr Ste E
West Springfield, MA 01089-1320

Phone

(413) 733-0010

Fax

(413) 417-2978

NPI assigned

Oct 28, 2005

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidney Care and Transplant Services of New England, PC

  • Nephrology Physician
  • Springfield, MA
  • NPI 1598202558
  Medicare reassignment
• Riverbend Medical Group, Inc

  dba Trinity Health Of New England Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
  • NPI 1639280779
  NPD (past)
• Visiting Nurse Association and Hospice of Western New England, Inc.

  dba Baystate Hospice

  • Community Based Hospice Care Agency
  • West Springfield, MA
  • NPI 1437139664
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1609866755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560366",
            "telephone_number": "413-733-0010",
            "fax_number": "413-930-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CAPITAL DR STE E",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891320",
            "telephone_number": "413-733-0010",
            "fax_number": "413-417-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "035717",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "47681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003087922",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145009",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Boudle
• Ashley Bourque
• David A Bowers, M.D.
• Carol Ann Boyce
• Alena Boyer
• Sonya Bradford
• Luberta M Bradley, P.T.
• Bravo Express Transportation LLC
• Brightside for Families and Children
• Jocelyn Briotta

• Nephrology Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.