Bravman Langston and Associates Oral & Maxillofacial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BRAVMAN LANGSTON AND ASSOCIATES ORAL & MAXILLOFACIAL SURGERY, LLC

Practice address

68 Camp Street
Hyannis, MA 02061

Phone

(508) 771-6665

NPI assigned

Apr 4, 2008

Last updated

Dec 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard J. Bravman, DMD, MS

Title

Owner

Phone

(508) 771-6665

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1275706871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CAMP STREET",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "508-771-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAMP STREET",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "508-771-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVMAN LANGSTON AND ASSOCIATES ORAL & MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "BRAVMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-771-6665",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND. #",
            "identifier": "X04486",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X11180",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "DX9762",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth B. Boyd, M.D.
• James W Boyle, M.D.
• Meaghan S Brady
• Michael Brand
• Noreen A Braun, MSW
• Bravman Oral Surgery, LLC
• Debra A. Bravman, LICSW
• Julie Bray
• Joseph B Breitstone, RN
• Kevin Bresnahan, MD

• Oral and Maxillofacial Surgery (Dentist) in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.