Organization Active NPI

Gregory Braverman MD Medical Services Inc

  • Adult Mental Health Clinic/Center
  • Burlingame, CA
National Provider Identifier
1780443598
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GREGORY BRAVERMAN MD MEDICAL SERVICES INC
Practice address
25 Edwards CT Ste 102
Burlingame, CA 94010-2429
Phone
(408) 688-4737
Fax
(408) 350-1895
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Gregory Braverman, MDNPI 1790998979
Title
President
Phone
(408) 688-4737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

25 Edwards CT Ste 102
Burlingame, CA 94010-2429

Mailing address

339 Balboa St
San Francisco, CA 94118-3935
Phone (408) 688-4737

National Provider Directory

National Provider Directory

Locations

25 Edwards Ct
Ste 102
Burlingame, CA 94010
Phone (408) 688-4737

339 Balboa St
San Francisco, CA 94118

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1780443598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BALBOA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183935",
            "telephone_number": "408-688-4737",
            "fax_number": "408-350-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 102",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102429",
            "telephone_number": "408-688-4737",
            "fax_number": "408-350-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY BRAVERMAN MD MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-688-4737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.