Individual
DR. DAVID E BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211-1318
(913) 491-9123
(913) 491-6608
Mailing address
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211-1318
(913) 491-9123
(913) 491-6608
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0417188
KS
207W00000X
Ophthalmology Physician
R8108
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06907178
BLUE CROSS BLUE SHIELD
—
01
—
0809553
UNITED HEALTHCARE
—
01
—
180012951
RR MEDICARE
KS
05
—
200730638
—
MO
05
—
2050477501C
—
KS
01
—
2343355017
CIGNA
—
01
—
4001325
AETNA HEALTHCARE
—
Enumeration date
06/01/2005
Last updated
05/18/2008
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