Organization Active NPI

Bravis Enterprises Inc

  • Pulmonary Disease Physician
  • Butler, PA
National Provider Identifier
1457504060
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
BRAVIS ENTERPRISES INC
Doing business as
Butler Rehabilitation Centers
Practice address
1610 N Main Street Ext
Suite 101
Butler, PA 16001-1513
Phone
(724) 282-0755
Fax
(724) 282-7723
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ms. Melissa Lynn Davis, RPSGT
Title
Administrator
Phone
(724) 282-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1610 N Main Street Ext
Suite 101
Butler, PA 16001-1513

Mailing address

1610 N Main Street Ext
Suite 101
Butler, PA 16001-1513
Phone (724) 282-0755

Other names 1

  • Butler Rehabilitation Centers Doing business as

National Provider Directory

National Provider Directory

Locations

1610 N Main Street Ext
Ste 101
Butler, PA 16001
Phone (724) 282-0755

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1457504060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N MAIN STREET EXT",
            "address_2": "SUITE 101",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011513",
            "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": "1610 N MAIN STREET EXT",
            "address_2": "SUITE 101",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011513",
            "telephone_number": "724-282-0755",
            "fax_number": "724-282-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVIS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-282-0755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler Rehabilitation Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.