Mr Stewart Elgen Braddock, DDS is a
Dentist - General Practice based in Kirbyville, Texas. Mr Stewart Elgen Braddock is licensed to practice in Texas (license number 13307) and his current practice location is
2091 South Margaret, Kirbyville, Texas. He can be reached at his office (for appointments etc.) via phone at
(409) 423-5519.
NPI number for Mr Stewart Elgen Braddock is 1578620431 and his current mailing address is 2091 South Margaret, Kirbyville, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578620431.
Healthcare Provider's Profile
| Full Name | Mr Stewart Elgen Braddock |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 2091 South Margaret, Kirbyville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578620431
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Stewart Elgen Braddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578620431 | NPI | - | NPPES |
| 701005 | Other | | UNITED CONCORDIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 13307 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stewart Elgen Braddock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Stewart Elgen Braddock, DDS
2091 South Margaret,
Kirbyville, TX 75956
Ph: (409) 423-5519 | Mr Stewart Elgen Braddock, DDS
2091 South Margaret,
Kirbyville, TX 75956
Ph: (409) 423-5519 |
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