Bravo Health Mid-Atlantic, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BRAVO HEALTH MID-ATLANTIC, INC.

Practice address

9623 Braeburn GLN
Austin, TX 78729-2710

Phone

(512) 534-7482

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Marlena Powell Pickering, ESQ.

Title

Attorney

Phone

(571) 401-5886

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1508541798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GREAT CIRCLE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281309",
            "telephone_number": "571-401-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 BRAEBURN GLN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787292710",
            "telephone_number": "512-534-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO HEALTH MID-ATLANTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "571-401-5886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brave Young Minds PLLC
• Shalyn Bravens, LMSW
• Aaron Braverman, LCSW
• Bravo Counseling Center, PLLC
• Cristal Bravo Galindez
• Brenda Janine Bravo-Fajardo, RDN, CNSC
• Diana Bravo, RD/RDN
• Jose L Bravo, M.D.
• Olga Bravova, PA-C
• Emily Sasser Bray

• Health Maintenance Organization in Austin, TX
• Providers in Austin, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.