Braemoor Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRAEMOOR HEALTH CENTER, LLC

Doing business as

Braemoor Health Center

Practice address

34 N Pearl St
Brockton, MA 02301-1708

Phone

(508) 586-3696

NPI assigned

Jun 21, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Dov Newmark

Title

Owner

Phone

(732) 567-3438

Specialties & licenses 1

Addresses

Other names 1

• Braemoor Health Center Doing business as

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1952740110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011708",
            "telephone_number": "508-586-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAEMOOR HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "NEWMARK",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-567-3438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braemoor Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel P. Bradley, LICSW
• John C Bradley, M.D.
• Katherine Elizabeth Bradley, MD
• Jazmine Elizabeth Bradsher
• Matthew David Brady
• Braemoor Rehabilitation and Nursing Center, Inc.
• Carla Patricia Braga, APRN, CNM
• Marissa Ann Bragg
• Soraya Brandao
• Lynn Brandes, OD

• Skilled Nursing Facility in Brockton, MA
• Providers in Brockton, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.