Organization
BPG PREMIERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WARD BRAVO PSY.D. (OWNER, CLINICAL PSYCHOLOGIST)
(301) 233-5020
Entity
Organization
Contact information
Practice address
800 S FREDERICK AVE, GAITHERSBURG, MD 20877-4150
(301) 233-5020
Mailing address
800 S FREDERICK AVE, GAITHERSBURG, MD 20877-4150
(301) 233-5020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
03/05/2026
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