MR. JERRY A. BRAVERMAN


Address: 1037 Chatham Dr Se, Olympia, WA 98513
Phone: 9313382607

MR. JERRY A. BRAVERMAN (NPI# 1538122346) 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) 1538122346
Entity Type Individual
Full Name MR. JERRY A. BRAVERMAN
Credential PAC
Practice Address 1037 Chatham Dr Se
Olympia
WA 98513
Mailing Address 3908 10th St Se
Puyallup
WA 98374-2188
Practice Telephone 9313382607
Mailing Telephone 2538485951
Mailing Fax Number 2538457073
Enumeration Date 2006-04-11
Last Update Date 2018-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1037 CHATHAM DR SE
City OLYMPIA
State WA
Zip Code 98513

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1760095962 Katrina-nadine Maanao Perez Occupational Therapist Meadows Elementary School, 836 Deerbrush Drive Se, Lacey, WA 98513 2020-08-26
1679056824 Katharine Loco-marshall Physician Assistant 4816 She-nah-num Drive, Olympia, WA 98513 2018-09-13
1881113439 Riley Cruz Massage Therapist 10135 Stedman Rd Se, Olympia, WA 98513 2017-09-14
1174071948 Kirby Healthcare, LLC Nursing Care 244 Dutterow Rd Se, Olympia, WA 98513 2016-09-21
1477980134 Angela Karr Pharmacist 4918 Balustrade Blvd Se, Lacey, WA 98513 2013-09-26
1174875876 Sheila Lynn Emmons Massage Therapist 8321 Valley Green Dr., Olympia, WA 98513 2012-10-05
1407081391 Nicole Justine Adamson Chiropractor 4631 Whitman Lane, Suite B, Lacey, WA 98513 2009-05-20
1568628410 Molly Carolyn Ostrander Counselor 5026 70th Way South East, Lacey, WA 98513 2008-07-31
1063674430 Wayne Lawrence Franks Counselor 4816 She-nah-num Drive Se, Nisqually Indiantribe, Olympia, WA 98513 2008-06-27
1356521405 Mikki R Bosman Massage Therapist 5515 93rd Ave Se, Olympia, WA 98513 2007-11-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649750555 Stephanie Mcclymond Physician Assistant 5519 Donnelly Dr Se, Olympia, WA 98501-5019 2018-08-20
1265972814 Holmes Howard Stoner IIi Physician Assistant 2229 Cooper Crest Pl Nw, Olympia, WA 98502-4079 2017-03-01
1598112054 Jason Nathaniel Shepherd Physician Assistant 1620 Cooper Point Rd Sw Ste 200, Olympia, WA 98502-5736 2016-05-14
1972990281 Ryan David Richards Physician Assistant 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 2015-04-24
1841590502 Barbara Ann Krulich Physician Assistant 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 2010-10-28
1295889087 Brad Goldworm Physician Assistant 2950 Limited Ln Nw, Olympia, WA 98502-4577 2007-01-22
1083723746 Stephen R Fischer Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2006-08-29
1326063462 John Richard Hill Physician Assistant 7125 101st Ave Sw, Olympia, WA 98512-2139 2006-07-12
1164464053 John C Schira Physician Assistant 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 2006-06-12
1205885290 Kathy Lucia Savatini Physician Assistant 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 2006-05-08
Find all providers in OLYMPIA

Competitor

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City OLYMPIA
Zip Code 98513

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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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