NPIMap

Organization Active NPI

Brava Corporation

  • Point of Service
  • Washington, DC
National Provider Identifier
1295920775
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
PRC13943 Issued in DC
Legal business name
BRAVA CORPORATION
Practice address
7606 16TH St NW
Washington, DC 20012-1406
Phone
(561) 676-2989
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Theresa B. Bradley, PSY.D.
Title
President
Phone
(561) 676-2989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X PRC13943 DC Primary

Addresses

Primary practice location

7606 16TH St NW
Washington, DC 20012-1406

Mailing address

7606 16TH St NW
Washington, DC 20012-1406
Phone (561) 676-2989

National Provider Directory

National Provider Directory
Tax ID family
Brava Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1295920775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121406",
            "telephone_number": "561-676-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121406",
            "telephone_number": "561-676-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-676-2989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "DC",
            "license": "PRC13943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.