Provider Demographics
NPI:1942689625
Name:KRET, BRANDEN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:CHARLES
Last Name:KRET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1924 PINE ST
Mailing Address - Street 2:STE 501
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2452
Mailing Address - Country:US
Mailing Address - Phone:325-670-4333
Mailing Address - Fax:325-670-4336
Practice Address - Street 1:1924 PINE ST STE 501
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2452
Practice Address - Country:US
Practice Address - Phone:325-670-4333
Practice Address - Fax:325-670-4336
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125066547208600000X
KY536282086S0102X
TXT2910208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care