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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528551447 | Bravo Medical, LLC | Clinic/Center | 9 Somerdale Sq, Somerdale, NJ 08083-1345 | 2018-06-14 |
Street Address |
10 SOMERDALE SQUARE 1200 SOUTH WHITE HORSE PIKE |
City | SOMERDALE |
State | NJ |
Zip Code | 08083-1345 |
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 |
Find all providers in zip 08083 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528551447 | Bravo Medical, LLC | Clinic/Center | 9 Somerdale Sq, Somerdale, NJ 08083-1345 | 2018-06-14 |
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 |
Find all providers with the same taxonomy |
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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.