# BPG PREMIERCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083480602
- **Authorized official:** DR. ERIC WARD BRAVO PSY.D. (OWNER, CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (301) 233-5020

## Contact information

- **Practice address:** 800 S FREDERICK AVE, GAITHERSBURG, MD 20877-4150
- **Practice address phone:** (301) 233-5020
- **Mailing address:** 800 S FREDERICK AVE, GAITHERSBURG, MD 20877-4150
- **Mailing address phone:** (301) 233-5020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 03/05/2026