Bravo Medical, LLC
Clinic/Center, Methadone Clinic in Somerdale, New Jersey
1427602960- Practice location
- 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345
- Phone
- 856-679-2500
- Fax
- —
- Last updated
- August 1, 2019
Bravo Medical, LLC is a healthcare organization based in Somerdale, NJ. Bravo Medical, LLC practices in Somerdale, NJ. The NPI Number for Bravo Medical, LLC is 1427602960. The current practice location address for Bravo Medical, LLC is 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345 and can be reached out via phone at 856-679-2500.
Provider Profile Details
- NPI Number
- 1427602960
- Provider Name
- Bravo Medical, LLC
- Provider Entity Type
- Organization
- Address
- 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345
- Phone Number
- 856-679-2500
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Mark Gallihue · Corp Dir Of Patient Accounts · 610-994-2968
- Provider Enumeration Date
- August 1, 2019
- Last Update Date
- August 1, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Somerdale Square 1200 South White Horse Pike
Somerdale, NJ 08083-1345 - City
- Somerdale
- State
- New Jersey
- Zip
- 08083-1345
- Phone Number
- 856-679-2500
Provider Business Mailing Address Details
- Address
- 2701 Renaissance Blvd Fl 4
King Of Prussia, PA 19406-2781 - City
- King Of Prussia
- State
- PA
- Zip
- 19406-2781
- Phone Number
- 610-994-2968
License Information
- Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bravo Medical, LLC?
The NPI number of Bravo Medical, LLC is 1427602960. It was assigned on August 1, 2019 and is currently active in the NPPES registry.
What is the specialty of Bravo Medical, LLC?
Bravo Medical, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X).
Where does Bravo Medical, LLC practice?
The practice location is 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345. The office can be reached at 856-679-2500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427602960 directly on the NPPES registry website.