Brave Essentials LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BRAVE ESSENTIALS LLC

Practice address

6018 Delmar Blvd
Saint Louis, MO 63112-1402

Phone

(314) 915-9740

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Monique R Fulks

Title

Ceo

Phone

(314) 922-3553

Specialties & licenses 1

Addresses

Other names 1

• BRAVE Essentials Doing business as

Locations

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1972388445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 SAINT VINCENT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041338",
            "telephone_number": "314-922-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6018 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121402",
            "telephone_number": "314-915-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE ESSENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "FULKS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-922-3553"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAVE Essentials",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen N Braun, DO
• Elizabeth Nicole Braun, NNP
• Erica Lynn Braun, MSW, LCSW
• John William Braun, DO
• Melanie Braun
• Brave Heart Care
• Brave Hearts and Hands Homecare LLC
• Bravehearts Loving Care LLC
• Sarah Braver, LCSW
• Alan Charles Braverman, MD

• Prosthetic/Orthotic Supplier in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.