Individual
DR. LAWRENCE F BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 CASH RD SW, CAMDEN, AR 71701-3704
(870) 836-8101
(870) 837-6833
Mailing address
PO BOX 757, CAMDEN, AR 71711-0757
(870) 836-8101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5811
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000167122306
UNITED HEALTH CARE
—
01
—
080070820
RAILROAD MEDICARE
AR
05
—
101351001
—
AR
01
—
13271000000
QUALCHOICE
AR
01
—
5271038
AETNA
—
01
—
770078401
BREASTCARE
AR
Enumeration date
02/13/2006
Last updated
10/03/2008
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