BRADEN SHANE LIKENS MD
NPI 1205438694
Anesthesiology in Jackson, MS

Active since November 11, 2020PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 8, 2024, Dec 15, 2020, Nov 11, 2020 (3 updates tracked since 2020).

About Braden Shane Likens Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADEN SHANE LIKENS MD (NPI 1205438694) is an individual anesthesiology provider in Jackson, Mississippi, licensed in Mississippi (T-5258) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1205438694
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameBRADEN SHANE LIKENSCredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address127 Shiloh PkwyBrandon, MS 39042-1209 · (479) 650-9942
Sole ProprietorNo
Enumeration DateNovember 11, 2020
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1205438694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MS · T-5258
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2500 N STATE ST, Jackson, MS 39216

Secondary Practice Location 1

Location 1800 Stanton L Young BlvdOklahoma City, OK 73104-5018 · Phone (405) 271-2316

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Braden Shane Likens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Braden Likens's NPI number?

The NPI number for Braden Likens is 1205438694. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Braden Likens located?

Braden Likens practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Braden Likens's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Braden Likens enrolled in Medicare?

Yes. Braden Likens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Braden Likens was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.