Bravado Medical Group Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BRAVADO MEDICAL GROUP INC

Practice address

1300 NW 17TH Ave Ste 160
Delray Beach, FL 33445-2554

Phone

(561) 704-6781

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Randy Herfield

Title

Ceo

Phone

(561) 704-6781

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1841919032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY STE 245A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871672",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW 17TH AVE STE 160",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452554",
            "telephone_number": "561-704-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVADO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bras & Things of Delray Beach, Inc (Bras 'n Things)
• Sondra Salina Braude, RD, LD/N
• Jeffrey Scott Braun, MD
• Christene Rush Braunius, MOTR/L
• Gabrielle Laine Braunstein, PA
• Frederika Braverman
• Breakwater Psychotherapy, LLC
• Breathe Easy Supply LLC
• Soraya Breda, PA-C
• Warren Steven Brenner, M.D.

• Multi-Specialty Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.