Braver

LBN: Braver Medical, Pllc
Braver is an health care organization with primary practice located at 1275 Wampanoag Trl Ste 3C , Riverside RI 02915-1217. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Braver Medical, Pllc can be contacted via phone (401) 206-0304, or through Case, Brady via phone (917) 697-2890.

Contact Information

Primary practice address
1275 Wampanoag Trl Ste 3C Riverside RI 02915-1217
Phone: (401) 206-0304
Fax: (401) 343-6466
Website:
Map and Directions
Authorized official contact:
Name: Case, Brady Doctor of Medicine (MD)
Phone: (917) 697-2890

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1972265536
LBN Legal business name Braver Medical, Pllc
DBA Doing business as Braver
Authorized official Case, Brady Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2021
Last updated Nov 20th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972265536 NPPES
Rhode Island Other PS01333 PSYCHOLOGIST LICENSE
Rhode Island Other PS00846 PSYCHOLOGIST LICENSE
Rhode Island Other MD12323 PSYCHOLOGIST LICENSE

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