BRADEN PARTNERS LP NPI 1750494084

NPI Information

NPI: 1750494084
Provider Name: BRADEN PARTNERS LP

Doing Business As: PACIFIC PULMONARY SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
3384 N PUBLISHERS DR
SUITE C
ROCKFORD, IL
ZIP 61109
Phone: (815) 874-1314
Get Directions

BRADEN PARTNERS LP is an oxygen equipment and supplies durable medical equipment medical supplies in Rockford, IL. BRADEN PARTNERS LP NPI is 1750494084. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Pulmonary Services.

The provider's business location address is:

3384 N PUBLISHERS DR
SUITE C
ROCKFORD, IL
ZIP 61109-334
Phone: (815) 874-1314
Fax: (815) 874-1363

The provider's authorized official is Yehoshua Parnes .
The authorized official title is Chief Executive Officer and has the following contact phone number (415) 893-1518.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 5/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	=========008	MEDICAID	ILLINOIS
2	=========-003	MEDICAID	ILLINOIS
3	0393850069	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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