BRAVERMAN WELLNESS (NPI# 1720577026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720577026 |
| Entity Type | Organization |
| Organization Name | BRAVERMAN WELLNESS |
| Practice Address |
3401 Chestnut Ave Ste R Baltimore MD 21211-2585 |
| Mailing Address |
4301 Buchanan Ave Apt B Baltimore MD 21211-1216 |
| Practice Telephone | 7202014729 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | JEREMY BRAVERMAN (OWNER AND PROVIDER) |
| Authorized Official Telephone | 7202014729 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3401 CHESTNUT AVE STE R |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21211-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134504301 | Jeremy Braverman | Acupuncturist | 3401 Chestnut Ave Ste R, Baltimore, MD 21211-2585 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308322 | Deep Roots Wellness | Social Worker | 733 W. 40th Street, Print Shop Building Suite 20, Baltimore, MD 21211 | 2019-10-24 |
| 1194214981 | Heather Carr Bergan | Physical Therapy Assistant | Roland Park Place Rehab Dept., 830 W 40th St, Baltimore, MD 21211 | 2018-05-07 |
| 1427546100 | Rebecca Meredith | Student in an Organized Health Care Education/Training Program | 843 Powers St, Baltimore, MD 21211 | 2018-04-27 |
| 1851896534 | Dexter Kendrick | Acupuncturist | 2700 Reminton Ave, Baltimore, MD 21211 | 2018-03-26 |
| 1770092678 | Bethany Grove | Counselor | 3433 Chestnut Ave, Baltimore, MD 21211 | 2017-09-22 |
| 1184140857 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 Remington Ave Ste 500, Baltimore, MD 21211 | 2017-08-15 |
| 1528589116 | Natalie C Hung | Psychologist | 623 W 34th St Ste 105, Baltimore, MD 21211 | 2017-07-05 |
| 1003359332 | Hannah Elise Rose | Counselor | 711 W 40th Street, Suite 425, Baltimore, MD 21211 | 2016-11-17 |
| 1376091876 | Penelope Kaikis | Speech-Language Pathologist | 3825 Greenspring Avenue, Baltimore, MD 21211 | 2016-09-14 |
| 1265862429 | Alexandra Theo Samets | Social Worker | The Baltimore Center for Psychotherapy, 623 West 34th Street #105, Baltimore, MD 21211 | 2013-11-25 |
| Find all providers in zip 21211 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357919 | Family Orthodontics of Maryland LLC | Clinic/Center | 2 Hamill Rd Ste 215, Baltimore, MD 21210-1886 | 2019-06-29 |
| 1366008179 | Baltimore Acupuncture LLC | Clinic/Center | 1501 Sulgrave Ave Ste 310, Baltimore, MD 21209-3654 | 2019-05-16 |
| 1053875815 | Anova Infusion | Clinic/Center | 111 S Calvert St Ste 2700, Baltimore, MD 21202-6143 | 2019-01-25 |
| 1891262135 | Emerge Baltimore Inc. | Clinic/Center | 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 | 2018-10-24 |
| 1992271902 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 | 2018-10-17 |
| 1831671684 | Farrell & Associates | Clinic/Center | 4201 Harcourt Rd, Baltimore, MD 21214-3409 | 2018-08-29 |
| 1023502838 | Pikesville Pediatrics, LLC | Clinic/Center | 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 | 2018-06-15 |
| 1740798412 | Victory Medical Center | Clinic/Center | 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 | 2018-01-17 |
| 1730612235 | Concerted Care Group Brooklyn | Clinic/Center | 112 E Patapsco Ave, Baltimore, MD 21225-1745 | 2017-04-11 |
| 1659538437 | Powell Recovery Institute | Clinic/Center | 16 S Broadway, Baltimore, MD 21231-1712 | 2008-05-20 |
| Find all providers in BALTIMORE | ||||
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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.