Individual provider Active NPI

David Steven Braden, M.D.

  • Pediatrics Physician
  • Brookhaven, MS
National Provider Identifier
1689697336
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10759 Issued in MS
Practice address
624 Highway 51 N
Brookhaven, MS 39601-2337
Phone
(601) 835-2100
Fax
(601) 835-0451
NPI assigned
Jul 25, 2006
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 10759 MS
Pediatrics Physician 208000000X 10759 MS Primary

Addresses

Primary practice location

624 Highway 51 N
Brookhaven, MS 39601-2337

Mailing address

624 Highway 51 N
Brookhaven, MS 39601-2337
Phone (601) 835-2100

Other practice location 1

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (601) 355-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20050103000207 MS Practitioner - Pediatric Medicine 8426015876 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kings Daughters Medical CenterGroup PAC ID 3072575539, 75 clinicians

Practice addresses (Care Compare)

1190 N State St
Jackson, MS 39202-2413
Phone (601) 965-6100

427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Children's Clinic Pediatrics Current Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
Medical Foundation of Central Ms CurrentSince Mar 15, 2024 Accepting new patients
Baptist Memorial Medical Group Inc Pediatrics CurrentSince Jun 16, 2022 Accepting new patients
Mississippi Childrens Heart Clinic PLLC Pediatric Cardiology CurrentSince Oct 1, 2020 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Feb 4, 2025 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Feb 4, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 16, 2022 Accepting new patients
KDMC Physician Clinics LLC CurrentSince Jul 1, 2013 Accepting new patients
King's Daughters Medical Center CurrentSince Aug 1, 2007 Accepting new patients
King's Daughters Medical Center CurrentSince Aug 1, 2007 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Pediatrics CurrentSince Mar 15, 2024 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011

601 Brookman Dr Ext
#A
Brookhaven, MS 39601
Phone (601) 823-5275

624 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-3098

950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1190 N State St
Ste 200
Jackson, MS 39202
Phone (601) 965-6100

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

Interoperability endpoints

  • Direct secure messaging: dbraden149159@direct.bmhcc.org
  • FHIR API: https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1689697336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012337",
            "telephone_number": "601-835-2100",
            "fax_number": "601-835-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012337",
            "telephone_number": "601-835-2100",
            "fax_number": "601-835-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "601-355-3353",
            "fax_number": "601-355-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MS",
            "license": "10759",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "10759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.