Individual
BRIAN D BRAVEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1177 PROVIDENCE HIGHWAY, NORWOOD, MA 02062
(781) 278-5535
(781) 440-7411
Mailing address
1177 PROVIDENCE HIGHWAY, NORWOOD, MA 02062
(781) 278-5535
(781) 440-7411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3337
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0335096
MEDICAID WELFARE
—
01
—
042472266
TRICARE CHAMPUS
—
01
—
1692125
CIGNA PAL ID
—
01
—
2213103
FIRST HEALTH
—
01
—
410045266
RAILROAD MEDICARE
—
01
—
49575
CHILDRENS MEDICAL SECURIT
—
01
—
61209
FALLON COMMUNITY HEALTH P
—
01
—
787397
MVP HEALTH CARE
—
01
—
7985576
AETNA US HEALTHCARE
—
01
—
AA2356
HARVARD PILGRIM HEALTHCAR
—
01
—
W16360
BLUE SHIELD INDEMNITY
—
01
—
W17040
MEDICARE B
—
Enumeration date
11/16/2005
Last updated
02/18/2021
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