Active NPI
Bravis Enterprises, Inc.
Doing business as Butler Rehabilitation Centers
- Pulmonary Disease Physician
- Clarion, PA
National Provider Identifier
1396979407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- BRAVIS ENTERPRISES, INC.
- Doing business as
- Butler Rehabilitation Centers
- Practice address
- 1008 South 5TH Ave.
Suite 101
Clarion, PA 16214-8676 - Phone
- (724) 282-0755
- Fax
- (724) 282-0755
- NPI assigned
- May 5, 2009
- Last updated
- May 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli A. Thompson, BS, RRS
- Title
- Administrator
- Phone
- (724) 282-0755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | NU | Primary |
Addresses
Primary practice location
1008 South 5TH Ave.
Suite 101
Clarion, PA 16214-8676
Mailing address
200 Renaissance Drive
Suite 301
Butler, PA 16001-7612
Phone (724) 282-0755
Other names 1
- Butler Rehabilitation Centers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1396979407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RENAISSANCE DRIVE",
"address_2": "SUITE 301",
"city": "BUTLER",
"state": "PA",
"postal_code": "160017612",
"telephone_number": "724-282-0755",
"fax_number": "724-282-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 SOUTH 5TH AVE.",
"address_2": "SUITE 101",
"city": "CLARION",
"state": "PA",
"postal_code": "162148676",
"telephone_number": "724-282-0755",
"fax_number": "724-282-0755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVIS ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "KELLI",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "724-282-0755",
"authorized_official_credential": "BS, RRS"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Butler Rehabilitation Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.