Organization Active NPI

Paul Revere Academy, Inc.

  • Local Education Agency (LEA)
  • Mesa, AZ
National Provider Identifier
1033094388
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PAUL REVERE ACADEMY, INC.
Practice address
1601 W Main St
Mesa, AZ 85201-6910
Phone
(480) 461-4475
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandon Bernard
Title
Director of Special Education
Phone
(480) 461-4425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1601 W Main St
Mesa, AZ 85201-6910

Mailing address

43 E 1St Ave
Mesa, AZ 85210-1446
Phone (480) 461-4405

National Provider Directory

National Provider Directory

Locations

43 E 1st Ave
Mesa, AZ 85210
Phone (480) 610-6996

1601 W Main St
Mesa, AZ 85201
Phone (480) 461-4475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1033094388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E 1ST AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101446",
            "telephone_number": "480-461-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016910",
            "telephone_number": "480-461-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL REVERE ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "480-461-4425"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.