# BRAVER MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Braver
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972265536
- **Authorized official:** BRADY CASE MD (MEMBER)
- **Authorized official phone:** (917) 697-2890

## Contact information

- **Practice address:** 1275 WAMPANOAG TRL STE 3C, RIVERSIDE, RI 02915-1217
- **Practice address phone:** (401) 206-0304
- **Practice address fax:** (401) 343-6466
- **Mailing address:** 67 BAY RD, BARRINGTON, RI 02806-4751
- **Mailing address phone:** (917) 697-2890
- **Mailing address fax:** (401) 903-2192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2021
- **Last updated:** 10/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MD12323 | MEDICAL LICENSE | RI |
| 01 | — | PS00846 | PSYCHOLOGIST LICENSE | RI |
| 01 | — | PS01333 | PSYCHOLOGIST LICENSE | RI |