Organization Active NPI

Brave Health Medical Group PA

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1225669161
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRAVE HEALTH MEDICAL GROUP PA
Practice address
1951 NW 7TH Ave FL 3
Miami, FL 33136-1112
Phone
(305) 902-6347
Fax
(727) 306-8033
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Anna Lindow
Title
Authorized Official
Phone
(305) 902-6347

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1951 NW 7TH Ave FL 3
Miami, FL 33136-1112

Mailing address

1951 NW 7TH Ave FL 3
Miami, FL 33136-1104
Phone (305) 902-6347

Other names 1

  • Brave Health Medical Group, P.C. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, TX, AL, KY, IL, MI, OH, NM, PA, MS, NE, TN, LA, AZ, OK, MN, IN, SC, VA20 enrollments

Enrollment records 20

Enrollment IDStateProvider typePAC IDDetails
O20200828002827 GA Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 28 practitioners
Practice locations: Ellijay, GA; Hampton, GA; Kennesaw, GA; Marietta, GA; Smyrna, GA; Snellville, GA; Stone Mountain, GA; Thomasville, GA…
O20200901002819 NC Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 3 practitioners
Practice locations: Fayetteville, NC; Greenville, NC; Marshall, NC
O20201113000093 TX Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 128 practitioners
Practice locations: Houston, TX; Humble, TX; Katy, TX; Little Elm, TX; Mansfield, TX; Oak Point, TX; Richmond, TX; Dallas, TX…
O20201130002620 AL Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 1 practitioner
Practice locations: Bessemer, AL; Birmingham, AL
O20201218001509 KY Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 1 practitioner
Practice locations: Bonnieville, KY; Louisville, KY
O20210129001373 IL Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 21 practitioners
Practice locations: Taylorville, IL; Wheaton, IL; Springfield, IL; Romeoville, IL; Prospect Heights, IL; Pingree Grove, IL; Park Forest, IL; Newark, IL…
O20210309000763 MI Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 3 practitioners
Practice locations: Jackson, MI; Royal Oak, MI
O20210519002940 OH Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 23 practitioners
Practice locations: Zanesville, OH; Westerville, OH; Warren, OH; Toledo, OH; Peninsula, OH; Dayton, OH; Marietta, OH; Columbus, OH…
O20220427000738 NM Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 4 practitioners
Practice locations: Las Cruces, NM; Albuquerque, NM
O20220504001437 PA Part B Supplier - Clinic/Group Practice 9537586052 Practice locations: Pocono Summit, PA
O20220613001807 MS Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 4 practitioners
Practice locations: Aberdeen, MS; Waynesboro, MS
O20220726001031 NE Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20231201002424 TN Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 5 practitioners
Practice locations: Chapel Hill, TN; Newport, TN
O20231220003268 LA Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 5 practitioners
Practice locations: New Orleans, LA; Monroe, LA; Baton Rouge, LA
O20231227003050 AZ Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 2 practitioners
Practice locations: Maricopa, AZ; Phoenix, AZ
O20240610003966 OK Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 13 practitioners
Practice locations: Yukon, OK; Tulsa, OK; Oklahoma City, OK; Norman, OK; Guthrie, OK
O20240723002425 MN Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, MN
O20250304001430 IN Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 8 practitioners
Practice locations: Evansville, IN; Portage, IN; Albion, IN
O20250317001085 SC Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC
O20250815003370 VA Part B Supplier - Clinic/Group Practice 9537586052 Receives reassigned benefits from 6 practitioners
Practice locations: Chester, VA; Norfolk, VA; Smithfield, VA

National Provider Directory

National Provider Directory

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

901 34th Ave N
Unit 7178
St Petersburg, FL 33734

3597 E Monarch Sky Ln
Ste F240
Meridian, ID 83646
Phone (208) 216-5083

3220 Farnam St
Omaha, NE 68131

150 Central Park Sq
Ste 2
Los Alamos, NM 87544

150 Central Park Sq
Ste 19
Los Alamos, NM 87544

675 Alpha Dr
Ste E108
Highland Heights, OH 44143

Practitioners & affiliated clinicians

Practitioners 264

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

View all 264

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1225669161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361104",
            "telephone_number": "305-902-6347",
            "fax_number": "727-306-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 NW 7TH AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361112",
            "telephone_number": "305-902-6347",
            "fax_number": "727-306-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE HEALTH MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "LINDOW",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-902-6347"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brave Health Medical Group, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.