Provider Demographics
NPI:1942957709
Name:CAPT, BRADEN (DO)
Entity type:Individual
Prefix:
First Name:BRADEN
Middle Name:
Last Name:CAPT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 CARLISLE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4654
Mailing Address - Country:US
Mailing Address - Phone:801-318-9257
Mailing Address - Fax:
Practice Address - Street 1:3126 CARLISLE MEADOW CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4654
Practice Address - Country:US
Practice Address - Phone:801-318-9257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV6275207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine