Organization Active NPI

Braden Partners LP

Doing business as Pacific Pulmonary Services

  • Oxygen Equipment & Supplies (DME)
  • Tucson, AZ
National Provider Identifier
1871606616
Registry record updated Aug 26, 2013
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
1110 E Pennsylvania St
Suite 401
Tucson, AZ 85714-1666
Phone
(520) 806-0202
Fax
(520) 806-0203
NPI assigned
Aug 16, 2006
Last updated
Aug 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

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

Addresses

Primary practice location

1110 E Pennsylvania St
Suite 401
Tucson, AZ 85714-1666

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
410765MedicaidAZ
991621MedicaidAZ

Other names 1

  • Pacific Pulmonary Services Doing business as

National Provider Directory

National Provider Directory

Locations

1110 E Pennsylvania St
Ste 401
Tucson, AZ 85714
Phone (520) 806-0202

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1871606616",
    "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": "1110 E PENNSYLVANIA ST",
            "address_2": "SUITE 401",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141666",
            "telephone_number": "520-806-0202",
            "fax_number": "520-806-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-08-26",
        "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": "410765",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "991621",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.