Provider Demographics
NPI:1952760878
Name:BRYDEN LLC
Entity Type:Organization
Organization Name:BRYDEN LLC
Other - Org Name:KEEPMETIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAMEEKA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-565-3027
Mailing Address - Street 1:22580 MUSCADINE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-3343
Mailing Address - Country:US
Mailing Address - Phone:888-883-2769
Mailing Address - Fax:
Practice Address - Street 1:22580 MUSCADINE DR
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-3343
Practice Address - Country:US
Practice Address - Phone:888-883-2769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies