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Contact Information

BRAVER MEDICAL, PLLC
1275 WAMPANOAG TRL STE 3C
RIVERSIDE, RI02915-1217
 Phone: 401-206-0304
 Fax: 401-343-6466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRAVER MEDICAL, PLLC

NPI # 1972265536
LBN Legal business name BRAVER MEDICAL, PLLC
Authorized official BRADY CASE - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2021
Last updated 10/10/2025 - About 8 months ago
Identifiers
RI Other MD12323 MEDICAL LICENSE
RI Other PS00846 PSYCHOLOGIST LICENSE
RI Other PS01333 PSYCHOLOGIST LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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