Dr. Sandy Bravar D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9085 Issued in FL

Legal business name

DR. SANDY BRAVAR D.C., P.A.

Practice address

5600 Pga Blvd
Suite 104a
Palm Beach Gardens, FL 33418-3900

Phone

(561) 632-6822

Fax

(561) 624-4349

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sandy Bravar Corritori, D.C.NPI 1366457137

Title

Presidens/Chiropractic Physician

Phone

(561) 632-6822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Dr Sandy Bravar DC PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Sandy Bravar D.C., P.a.

  • Chiropractor
  • Palm Beach Gardens, FL
  • NPI 1124357280
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandy Bravar Corritori, D.C.

  • Chiropractor
  • Palm Beach Gardens, FL
  • NPI 1366457137
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1740548130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 PGA BLVD",
            "address_2": "SUITE 104A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183900",
            "telephone_number": "561-632-6822",
            "fax_number": "561-624-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 PGA BLVD",
            "address_2": "SUITE 104A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183900",
            "telephone_number": "561-632-6822",
            "fax_number": "561-624-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SANDY BRAVAR D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "CORRITORI",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "BRAVAR",
        "authorized_official_title_or_position": "PRESIDENS/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "561-632-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.