Organization Active NPI

Dr. Sandy Bravar D.C., P.a.

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1124357280
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9085 Issued in FL
Legal business name
DR. SANDY BRAVAR D.C., P.A.
Practice address
5600 Pga Boulevard
Suite 104a
Palm Beach Gardens, FL 33418
Phone
(561) 632-6822
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Dr. Sandy Bravar, D.C.
Title
Chiropractic Physician/President
Phone
(561) 632-6822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9085 FL Primary

Addresses

Primary practice location

5600 Pga Boulevard
Suite 104a
Palm Beach Gardens, FL 33418

Mailing address

5600 Pga Boulevard
Suite 104a
Palm Beach Gardens, FL 33418
Phone (561) 632-6822

National Provider Directory

National Provider Directory
Tax ID family
Dr Sandy Bravar DC PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1124357280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 PGA BOULEVARD",
            "address_2": "SUITE 104A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "561-632-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 PGA BOULEVARD",
            "address_2": "SUITE 104A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33418",
            "telephone_number": "561-632-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SANDY BRAVAR D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "BRAVAR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "561-632-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.