Bravman Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14452 Issued in MA

Legal business name

BRAVMAN ORAL SURGERY, LLC

Practice address

68 Camp Street
Hyannis, MA 02061

Phone

(508) 771-6665

Fax

(508) 790-4119

NPI assigned

Dec 12, 2017

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

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1447765417",
    "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",
            "fax_number": "508-790-4119"
        },
        {
            "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",
            "fax_number": "508-790-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVMAN ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "14452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Boyle, M.D.
• Meaghan S Brady
• Michael Brand
• Noreen A Braun, MSW
• Bravman Langston and Associates Oral & Maxillofacial Surgery, LLC
• Debra A. Bravman, LICSW
• Julie Bray
• Joseph B Breitstone, RN
• Kevin Bresnahan, MD
• Maureen S Briand, APRN

• 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 12, 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.