Samuel Braima Jr.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

800 Cross Pointe Rd
Gahanna, OH 43230-6687

Phone

(614) 446-0502

NPI assigned

Dec 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultimate Care Supported Living LLC

  • Assisted Living Facility (Mental Illness)
  • Columbus, OH
  • NPI 1508467853
  NPD Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1477097400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CROSS POINTE RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306687",
            "telephone_number": "614-446-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CROSS POINTE RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306687",
            "telephone_number": "614-446-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIMA",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Bowes, MA, NCSP
• Amy Leigh Boyer, O.D.
• Hunter Bracale
• Jessie James Bradley III
• Sonya Barnes Bradley
• Jerry Lee Brand, LMT
• Lisa J Braverman, MD
• Bright Star Home Health Care LLC
• Brighter Day Health LLC
• Gabrielle Alexandra Brokamp, MD

• Community Health Worker in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.