BEAU BRADEN – NPI #1902044985
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

BEAU BRADEN is a physician located in AVE MARIA, FL. NPPES has assigned the NPI number 1902044985 to BEAU BRADEN on January 28, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 10 years ago on Nov 28, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAU BRADEN below.

NPI Profile for
BEAU BRADEN

NPI Number
1902044985
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BEAU BRADEN
Primary location
5050 AVE MARIA BLVD
AVE MARIA, FL 34142-9505
Phone: (239) 867-4395 Fax: (239) 217-3662
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
FL OS12519
208D00000X
- General Practice
FL OS12519
207QA0401X
- Family Medicine / Addiction Medicine
FL OS12519
207PT0002X
- Emergency Medicine / Medical Toxicology
FL OS12519

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BEAU BRADEN is affiliated with the following medical group(s):
  • HOME HEALTH AGENCY
    • PREFERRED CARE HOME HEALTH SERVICES
      5292 SUMMERLIN COMMONS WAY STE 1102
      FORT MYERS, FL 33907

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