Bravo One, Inc.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA4140 Issued in CA

Legal business name

BRAVO ONE, INC.

Doing business as

Miracle-Ear

Practice address

9700 Fairway Dr
Suite 120
Roseville, CA 95678-3604

Phone

(916) 772-4327

Fax

(916) 772-4328

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Eric Christopher Bradley, HIS

Title

President

Phone

(916) 772-4327

Specialties & licenses 1

Addresses

Other names 1

• Miracle-Ear Doing business as

Locations

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1184961716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 FAIRWAY DR",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783604",
            "telephone_number": "916-772-4327",
            "fax_number": "916-772-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 FAIRWAY DR",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783604",
            "telephone_number": "916-772-4327",
            "fax_number": "916-772-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO ONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-772-4327",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle-Ear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Branderhorst, LMFT
• Marilyn Joyce Brandon
• Simran Brar, M.D.
• Upavandeep Singh Brar
• Anne S Braunstein, M.D.
• Joshua Aaron Bray, DC
• Rachel Kay Breedlove
• Chelsea Marie Brekke, PA-C
• Ligia Bremerman, LCSW
• Brett Martin, DDS, Inc.

• Hearing Instrument Specialist in Roseville, CA
• Providers in Roseville, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.