Active NPI
Brian D Braveman, OD
- Optometrist
- Norwood, MA
National Provider Identifier
1639151699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3337
- Practice address
- 1177 Providence Highway
Norwood, MA 02062 - Phone
- (781) 278-5535
- Fax
- (781) 440-7411
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3337 | MA | Primary |
Addresses
Primary practice location
1177 Providence Highway
Norwood, MA 02062
Mailing address
1177 Providence Highway
Norwood, MA 02062
Phone (781) 278-5535
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2213103 | Other | FIRST HEALTH | |
| 61209 | Other | FALLON COMMUNITY HEALTH P | |
| 7985576 | Other | AETNA US HEALTHCARE | |
| 0335096 | Other | MEDICAID WELFARE | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 042472266 | Other | THREE RIVERS | |
| 1692125 | Other | CIGNA PAL ID | |
| 787397 | Other | MVP HEALTH CARE | |
| AA2356 | Other | HARVARD PILGRIM HEALTHCAR | |
| W16360 | Other | BLUE SHIELD INDEMNITY | |
| W17040 | Other | MEDICARE B | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 49575 | Other | CHILDRENS MEDICAL SECURIT | |
| W16360 | Other | BLUE CARE ELECT | |
| 410045266 | Other | RAILROAD MEDICARE | |
| W16360 | Other | BLUE SHIELD HMO BLUE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbravemanod19517@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1639151699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 PROVIDENCE HIGHWAY",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-278-5535",
"fax_number": "781-440-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 PROVIDENCE HIGHWAY",
"city": "NORWOOD",
"state": "MA",
"postal_code": "02062",
"telephone_number": "781-278-5535",
"fax_number": "781-440-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVEMAN",
"first_name": "BRIAN",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2021-02-18",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2213103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "61209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7985576",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "0335096",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL ID",
"identifier": "1692125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "787397",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA2356",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "W16360",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "W17040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "49575",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "W16360",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410045266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "W16360",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbravemanod19517@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "1177 Providence Highway",
"city": "Norwood",
"state": "MA",
"country_code": "US",
"postal_code": "02062",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.