BARRY BRAVER (NPI# 1275592412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275592412 |
| Entity Type | Individual |
| Full Name | BARRY BRAVER |
| Credential | D.O. |
| Practice Address |
17520 Chester St Detroit MI 48224-1212 |
| Mailing Address |
16979 Jeanette St Southfield MI 48075-1916 |
| Practice Telephone | 3138840900 |
| Practice Fax Number | 3138848062 |
| Mailing Telephone | 2485691506 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101007774 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2808979 | 05 |
| Street Address |
17520 CHESTER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48224-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487623922 | Celia Sroka | Pediatrics | 17520 Chester St, Detroit, MI 48224-1212 | 2006-03-16 |
| 1053659623 | Family Service of Detroit and Wayne County | Counselor | 17520 Chester St, Detroit, MI 48224-1212 | 2013-01-16 |
| 1083807176 | Tzvi Braver | Family Medicine | 17520 Chester St, Detroit, MI 48224-1212 | 2007-08-22 |
| 1497895106 | Morang Chester Clinic P C | Family Medicine | 17520 Chester St, Detroit, MI 48224-1212 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| Find all providers in zip 48224 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1629515770 | Pinnacle Medical Group | General Practice | 535 Griswold St Ste 212, Detroit, MI 48226-3604 | 2017-01-27 |
| 1104170281 | Bryant Medical Staffing Services Group Inc. | General Practice | 1753 E 7 Mile Rd, Detroit, MI 48203-2159 | 2012-10-29 |
| 1316290281 | Higher Standard Therapeutics Rehab PC | General Practice | 14402 Gratiot Ave., Detroit, MI 48205-2307 | 2012-10-17 |
| 1578845400 | Hands Helping You LLC | General Practice | 17181 Pontchartrain Blvd, Detroit, MI 48203-1774 | 2011-09-16 |
| 1487944385 | Better Days Adult Activity Center LLC | General Practice | 17251 Huntington Rd, Detroit, MI 48219-3520 | 2011-04-12 |
| 1669788121 | Az Medical Services Management LLC | General Practice | 7405 Puritan St, Detroit, MI 48238-1207 | 2010-08-23 |
| 1871720342 | Vernor Mc Inc | General Practice | 7649 W Vernor Hwy, Detroit, MI 48209-1513 | 2009-06-11 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1184892754 | David Jonnalagadda Md PC | General Practice | 6001 W Outer Dr Ste 320, Detroit, MI 48235-2626 | 2008-02-15 |
| Find all providers in DETROIT | ||||
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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.