LARRY BRAVER DO PC (NPI# 1568631315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568631315 |
| Entity Type | Organization |
| Organization Name | LARRY BRAVER DO PC |
| Practice Address |
8245 Holly Rd Ste 102a Grand Blanc MI 48439-2443 |
| Practice Telephone | 8106940300 |
| Practice Fax Number | 8106940710 |
| Mailing Telephone | 8106940300 |
| Mailing Fax Number | 8106940710 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2012-11-13 |
| Authorized Official Name | LARRY BRAVER (OWNER) |
| Authorized Official Telephone | 8106940300 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2094329 | 05 |
| Street Address |
8245 HOLLY RD STE 102A |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568498772 | Christopher David Tykocki | Obstetrics & Gynecology | 8245 Holly Rd, Suite 103, Grand Blanc, MI 48439-2443 | 2006-06-23 |
| 1730320664 | Elizabeth Nickerson | Occupational Therapist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2009-03-24 |
| 1104067206 | Jennifer Christine Edwards-mayes | Speech-Language Pathologist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439 | 2009-03-19 |
| 1073754248 | Gail Henig | Speech-Language Pathologist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2009-03-17 |
| 1780841502 | Linda M Garrison | Speech-Language Pathologist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2008-05-20 |
| 1265699292 | Sheryl L Carpenter | Occupational Therapist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2008-05-19 |
| 1083871008 | Marie M Emert | Physical Therapist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2008-05-19 |
| 1952568990 | Charlene M Combs | Occupational Therapist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2008-05-19 |
| 1528225430 | Kami E Martinez | Speech-Language Pathologist | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2008-05-19 |
| 1922265842 | Lisa K Briggs | Physical Therapy Assistant | 8245 Holly Rd, Suite 204, Grand Blanc, MI 48439-2443 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1144672189 | Eric Da Silva | Family Medicine | 1 Genesys Pkwy Ste 4595, Grand Blanc, MI 48439-8065 | 2016-07-01 |
| 1912354986 | Michigan Independent Physicians Association, Plc | Family Medicine | 12821 S Saginaw St, D13, Grand Blanc, MI 48439-2457 | 2016-05-19 |
| 1306251608 | Rabia Chaudry | Family Medicine | 8447 Holly Rd Ste A, Grand Blanc, MI 48439 | 2014-06-25 |
| 1497168686 | Konstance Kasimos | Family Medicine | 1 Genesys Parkway Suite 4595, Genesys Regional Medical Center Medical Education Dept., Grand Blanc, MI 48439 | 2014-06-05 |
| 1902239452 | Curtis Detlor Irvine | Family Medicine | 6057 Fountain Pointe, Apt 9, Grand Blanc, MI 48439-7738 | 2013-08-19 |
| 1629380696 | Meggan Robinson | Family Medicine | One Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2010-07-07 |
| 1922235746 | Holly Family Medicine Plc | Family Medicine | 2595 Genesys Pkwy, Grand Blanc, MI 48439-8069 | 2009-06-19 |
| 1700049616 | Robert Bouvier Md, Plc | Family Medicine | 12741 S Saginaw Street, Ste 402, Grand Blanc, MI 48439 | 2008-07-10 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.