David Steven Braden, M.D.
Individual provider Active NPI Pediatrics Physician · Brookhaven, MS
NPI 1689697336 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1689697336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 10759 (MS)
- Practice address
- 624 Highway 51 N
Brookhaven, MS 39601-2337 - Phone
- (601) 835-2100
- Fax
- (601) 835-0451
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 Center
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
- King'S Daughters Medical Center-Brookhaven
- Franklin County Memorial Hospital
- Southwest Ms Regional Medical Center
- Mississippi Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- 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 |
|---|---|---|---|---|
| I20050103000207 | MS | Practitioner - Pediatric Medicine | 8426015876 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| KDMC Physician Clinics LLC | Current |
Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Pediatrics | Current |
Accepting new patients |
| Mississippi Childrens Heart Clinic PLLC | Pediatric Cardiology | Current |
Accepting new patients |
| Medical Foundation of Central Ms | Current |
Accepting new patients | |
| Brookhaven Children'S Clinic | Pediatrics | Current | Accepting new patients |
| Kings Daughters Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current |
Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current |
Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Pediatrics | Current |
Accepting new patients |
| Baptist Memorial Medical Group Inc | Current |
Accepting new patients | |
| King'S Daughters Medical Center | Current |
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
950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973
624 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-3098
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1190 N State St
Ste 200
Jackson, MS 39202
Phone (601) 965-6100
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4
- dbraden149159@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 10759 | MS | |
| Pediatrics Physician | 208000000X | 10759 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00121920 | Medicaid | MS |
Other providers in Brookhaven, MS
- Dakota Renne Bolin
- Spencer Lamar Bonds
- Jessica Boutwell
- William Kelly Boutwell
- James Jeffery Boyd
- Tucker Lee Brady
- Yolanda Shay Bridges
- Bridging Community With Healthcare, LLC
- Britt Medical Group LLC
- Blaine Cooper Britt
All providers in Brookhaven, MS · Pediatrics Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 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.