BRAVO MEDICAL, LLC


Address: 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345
Phone: 8566792500

BRAVO MEDICAL, LLC (NPI# 1427602960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427602960
Entity Type Organization
Organization Name BRAVO MEDICAL, LLC
Practice Address 10 Somerdale Square 1200 South White Horse Pike
Somerdale
NJ 08083-1345
Mailing Address 2701 Renaissance Blvd Fl 4
King of Prussia
PA 19406-2781
Practice Telephone 8566792500
Mailing Telephone 6109942968
Enumeration Date 2019-08-01
Last Update Date 2019-08-01
Authorized Official Name MARK GALLIHUE (CORP DIR OF PATIENT ACCOUNTS)
Authorized Official Telephone 6109942968
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528551447 Bravo Medical, LLC Clinic/Center 9 Somerdale Sq, Somerdale, NJ 08083-1345 2018-06-14

Office Location

Street Address 10 SOMERDALE SQUARE 1200 SOUTH WHITE HORSE PIKE
City SOMERDALE
State NJ
Zip Code 08083-1345

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053620351 Wal-mart Stores East Lp Technician/Technologist 1 Coopertown Blvd, Somersdale, NJ 08083 2010-10-04
1336344548 Diana Neal Juelg Nurse Practitioner 22 E. Evergreen Avenue, Somerdale, NJ 08083 2007-06-18
1598890295 Shawn Thomas Klenk Specialist/Technologist 102 Rex Rd., Somerdale, NJ 08083 2007-02-22
1588741870 John Raymond Tocco Specialist 701 W. Somerdale Road, Somerdale, NJ 08083 2006-11-01
1245218163 Diana L Scott Obstetrics & Gynecology 1 Somerdale Sq, Somerdale, NJ 08083 2006-01-03
1013552702 Integrity Family Solutions Community/Behavioral Health 104 Kennedy Blvd, Somerdale, NJ 08083-1019 2019-11-17
1649373978 Vijay K Kalola Internal Medicine 227 E Somerdale Rd, Somerdale, NJ 08083-1105 2006-09-05
1639260896 Primary Care Affiliates of Nj, Pa Internal Medicine 227 E Somerdale Rd, Somerdale, NJ 08083-1105 2006-09-27
1932203171 Jayesh Patel Internal Medicine 227 E Somerdale Rd, Somerdale, NJ 08083-1105 2006-09-08
1295727642 Alan D Budman Podiatrist 301 E Somerdale Rd, Somerdale, NJ 08083-1107 2005-08-19
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528551447 Bravo Medical, LLC Clinic/Center 9 Somerdale Sq, Somerdale, NJ 08083-1345 2018-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043847304 Monmouth Healthcare Services, LLC Clinic/Center 495 Jack Martin Blvd Ste 6, Brick, NJ 08724-7778 2020-03-26
1295370849 Resource Center for The Chemically Dependent, Inc. Clinic/Center 124 Hampton House Rd, Newton, NJ 07860-2804 2019-11-07
1295294668 Pinnacle Treatment Centers Nj IIi LLC Clinic/Center 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 08619-1204 2019-03-15
1740748193 Pinnacle Treatment Centers Nj IIi LLC Clinic/Center 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 2019-03-05
1386101483 Trenton Healthcare, LLC Clinic/Center 670 Route 1 N, Iselin, NJ 08830-2629 2019-02-25
1609386135 Pinnacle Treatment Centers Nj IIi LLC Clinic/Center 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 2017-10-11
1972855575 Spectrum Health Care, Inc. Clinic/Center 74 Pacific Ave, Jersey City, NJ 07304-3216 2012-10-05
1962712398 Middletown Medical, LLC Clinic/Center 600 Hwy 35, Red Bank, NJ 07701-5018 2010-10-19
1578725867 Addiction Recovery Systems Somers Point LLC Clinic/Center 408 Bethel Rd Bldg B, Somers Point, NJ 08244-2172 2008-06-27
1902075336 Pinnacle Treatment Centers Nj I Inc Clinic/Center 2001 Route 37 East, Toms River, NJ 08753 2008-02-29
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Competitor

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City SOMERDALE
Zip Code 08083

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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