Brenda Bravo-Valiente

Primary specialty

TechnicianTaxonomy code 374700000X

License

5303022019 Issued in MI

Practice address

1186 Baldwin Ave
Pontiac, MI 48340-2708

Phone

(248) 333-7057

NPI assigned

Aug 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Pontiac, MI
  • NPI 1063521342
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1043947567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 BALDWIN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402708",
            "telephone_number": "248-333-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 BALDWIN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402708",
            "telephone_number": "248-333-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO-VALIENTE",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "MI",
            "license": "5303022019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalako M. Bradley, DO
• Elona Braho, MA LLP CAADC
• Lucia Brainard
• Bonita R Branch-Yapa, D.D.S.
• Kirby E Brash, BS
• Assalah Brikho, M.D.
• Cathleen Brooks, RN
• Leatha Brooks, CRNA
• Brookside Services, PLLC
• Heather Julia Joyce Brosnan Rodhouse

• Technician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.