Provider Demographics
NPI:1295721793
Name:MCFADDEN, BRETT AARON (MD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:AARON
Last Name:MCFADDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BENT TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MCGREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-3805
Mailing Address - Country:US
Mailing Address - Phone:254-304-1728
Mailing Address - Fax:
Practice Address - Street 1:112 BENT TRAIL DR
Practice Address - Street 2:
Practice Address - City:MCGREGOR
Practice Address - State:TX
Practice Address - Zip Code:76657-3805
Practice Address - Country:US
Practice Address - Phone:254-304-1728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1919207R00000X, 208M00000X
OK24681208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F2142Medicaid
TX8F2142Medicaid
TXTXB148191Medicare PIN