BRAVO HEALTH SERVICE, INC – NPI #1649804717
Clinic/Center

BRAVO HEALTH SERVICE, INC is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1649804717 to BRAVO HEALTH SERVICE, INC on February 27, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAVO HEALTH SERVICE, INC below.

NPI Profile for
BRAVO HEALTH SERVICE, INC

NPI Number
1649804717
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAVO HEALTH SERVICE, INC
Primary location
2104 PARK AVE
MINNEAPOLIS, MN 55404-6607
Phone: (612) 295-2979 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NASIR BARKHADLE
OWNER
Phone: (612) 295-2979
Updated
Certification Date
Feb 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Minneapolis
Endpoint type
Other URL
Endpoint Description
MINNEAPOLIS
Content Type
CSV
Affiliation
N
Endpoint Location
2104 PARK AVE,
MINNEAPOLIS, MN 77025-1669