Braden, Gregory L

Braden, Gregory L is an individual health care provider with primary practice located at 134 Capital Dr Ste E , West Springfield MA 01089-1320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Braden, Gregory L can be contacted via phone (413) 733-0010.

Contact Information

Primary practice address
134 Capital Dr Ste E West Springfield MA 01089-1320
Phone: (413) 733-0010
Fax: (413) 417-2978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 035717 Connecticut
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 47681 Massachusetts

Profile Details

NPI number 1609866755
LBN Legal business name Braden, Gregory L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609866755 NPPES
Connecticut MEDICAID 003087922
Connecticut MEDICAID 0145009

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