Provider Demographics
NPI:1760654388
Name:BRADEN MED SERVICES, INC.
Entity Type:Organization
Organization Name:BRADEN MED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-732-7201
Mailing Address - Street 1:44519 MARIETTA RD
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43724-9209
Mailing Address - Country:US
Mailing Address - Phone:740-732-7201
Mailing Address - Fax:740-732-2377
Practice Address - Street 1:44519 MARIETTA RD
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:OH
Practice Address - Zip Code:43724-9209
Practice Address - Country:US
Practice Address - Phone:740-732-7201
Practice Address - Fax:740-732-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL11070332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0808960Medicaid
OH02637850OtherPHARMACY LICENSE
OH02637850OtherPHARMACY LICENSE