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Organization
BRAVER MEDICAL, PLLC
Active
Organization
BRAVER MEDICAL, PLLC
Active
Other names
Braver
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY CASE MD (MEMBER)
(917) 697-2890
Entity
Organization
Contact information
Practice address
1275 WAMPANOAG TRL STE 3C, RIVERSIDE, RI 02915-1217
(401) 206-0304
(401) 343-6466
Mailing address
67 BAY RD, BARRINGTON, RI 02806-4751
(917) 697-2890
(401) 903-2192
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD12323
MEDICAL LICENSE
RI
01
—
PS00846
PSYCHOLOGIST LICENSE
RI
01
—
PS01333
PSYCHOLOGIST LICENSE
RI
Enumeration date
10/12/2021
Last updated
10/10/2025
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