Organization Active NPI

Braving Doula Collective LLC

  • Doula
  • Lakewood, CO
National Provider Identifier
1114408770
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Aug 22, 2018

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)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.