Ravinder K Brar, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35044335 Issued in OH

Practice address

246 Northland Dr
Suite 200 a
Medina, OH 44256-1533

Phone

(330) 725-9195

Fax

(330) 725-9187

NPI assigned

Oct 18, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Portage Path Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Akron, OH
  • NPI 1114492147
  NPD (past)
• Portage Path Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Akron, OH
  • NPI 1881643633
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740279199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 TREELINE DR",
            "address_2": "STE J",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413393",
            "telephone_number": "440-746-2220",
            "fax_number": "440-746-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "address_2": "SUITE 200 A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561533",
            "telephone_number": "330-725-9195",
            "fax_number": "330-725-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "RAVINDER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35044335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0583408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael L Bradford-Bank, PRS
• Nicole Annalee Bradley
• Allan Brainard, LPCC-S
• Malgorzata Brainard, CARDIAC SONOGRAPHER
• Patricia Brannen, MA
• Robert Brastoff
• Brandy Breggins
• Stacey Brehm, DC
• Cassie Marie Bremke, O.D.
• Brendel Eye Care LLC

• Psychiatry Physician in Medina, OH
• Providers in Medina, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.