Provider Demographics
NPI:1275565350
Name:BRADEN PARTNERS, LP
Entity Type:Organization
Organization Name:BRADEN PARTNERS, LP
Other - Org Name:PACIFIC PULMONARY SERVICES/MED-MART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP - FIELD SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CORDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-893-1518
Mailing Address - Street 1:4300 STINE RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-2308
Mailing Address - Country:US
Mailing Address - Phone:661-396-3720
Mailing Address - Fax:661-832-6010
Practice Address - Street 1:4520 N BANK ST
Practice Address - Street 2:STE A & B
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-2081
Practice Address - Country:US
Practice Address - Phone:928-757-5677
Practice Address - Fax:928-757-5805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies