NPI 1912192931

Brava Corporation

Organisation Exclusive Provider Organization Washington, DC

Practice location

Address: 7606 16th St NW, Washington, DC 20012-1406
Phone: (561) 676-2989

Authorised official

Name: Theresa B. Bradley
Title: President
Phone: (561) 676-2989

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence PRC13943 (DC)

Other Exclusive Provider Organization providers in District of Columbia →

Registry record

NPI: 1912192931
Entity type: Organization
NPI issued: 12 Sep 2007
Record last updated: 12 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.