Active NPI
Braving Doula Collective LLC
- Doula
- Lakewood, CO
National Provider Identifier
1114408770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- BRAVING DOULA COLLECTIVE LLC
- Practice address
- 10699 W 9TH PL
Lakewood, CO 80215-5621 - Phone
- (720) 435-4522
- NPI assigned
- Aug 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mac Brydum, MSW, CD/CBE (DTI)
- Title
- Owner
- Phone
- (720) 435-4522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
10699 W 9TH PL
Lakewood, CO 80215-5621
Mailing address
10699 W 9TH PL
Lakewood, CO 80215-5621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1114408770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10699 W 9TH PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10699 W 9TH PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802155621",
"telephone_number": "720-435-4522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVING DOULA COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "BRYDUM",
"authorized_official_first_name": "MAC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-435-4522",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, CD/CBE (DTI)"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.