Bravo Wellness, LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

BRAVO WELLNESS, LLC

Practice address

20445 Emerald Pkwy Ste 400
Cleveland, OH 44135-6010

Phone

(877) 662-7286

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jim Pshock

Title

Ceo/Founder

Phone

(877) 662-7286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1548504988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 EMERALD PKWY STE 400",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441356010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 EMERALD PKWY STE 400",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441356010",
            "telephone_number": "877-662-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PSHOCK",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "877-662-7286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Braunrot, MD
• Hannah Braunstein
• Isaac Braunstein, CAA
• Kathryn Bravard
• Aaron Braverman, MD
• Lulette Tricia Carandang Bravo, M.D.
• Mauro Bravo, MD
• Claire Brawley
• Braxton Manner
• Grover Braxton, RBT

• Corporate Health Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Corporate Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.