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Beau Braden

Emergency Physician General Practice Physician Family Doctor - Addiction Medicine

5050 Ave Maria Blvd
Ave Maria , Florida 34142-9505

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • Family Doctor - Addiction Medicine
  • General Practice Physician

Languages spoken

  • English

Location

5050 Ave Maria Blvd Ave Maria , Florida 34142-9505

First Address

  • Beau Braden
  • 5050 Ave Maria Blvd
  • Ave Maria, FL
  • Zip : 34142-9505
  • Fax : (239) 217-3662
  • Phone : (239) 867-4395

Second Address

  • Beau Braden
  • 5050 Ave Maria Blvd
  • Ave Maria, FL
  • Zip : 34142-9505
  • Fax : (239) 217-3662
  • Phone : (239) 867-4395

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FAQs


Where did Beau Braden attend graduate school?

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Where did Beau Braden do his residency?

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Where did Beau Braden do his fellowship?

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Is Beau Braden board certified?

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What type of doctor is Beau Braden

Emergency Physician

In what state does Beau Braden practice in?

Florida

Where is Beau Braden ’s practice located?

5050 Ave Maria Blvd , Ave Maria, Florida, 34142-9505

What is Beau Braden ’s gender?

Male

Is Beau Braden a sole practitioner?

No

Is Beau Braden accepting new patients?

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What languages does Beau Braden speak?

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Does Beau Braden accept insurance?

Yes, Beau Braden accepts insurance

Does Beau Braden offers telemedicine?

Beau Braden has not indicated if he offers telemedicine

What is Beau Braden ’s professional license number?

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What is Beau Braden ’s NPI number?

1902044985

Does Beau Braden have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207P00000X Emergency Physician OS12519 FL
N 207QA0401X Family Doctor - Addiction Medicine OS12519 FL
N 208D00000X General Practice Physician OS12519 FL

National Provider Identifier

NPI 1902044985
Provider Name Beau Braden
First Address Ave Maria, FL 34142-9505
Second Address Ave Maria, FL 34142-9505
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 28/01/2009
Last Update Date 28/11/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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