Brave Essentials LLC

Prosthetic/Orthotic Supplier · Saint Louis, MO

Organization Active NPI

NPI number 1972388445

Practice location

6018 Delmar Blvd
Saint Louis, MO 63112-1402
Phone
(314) 915-9740

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NPI record

NPI
1972388445
Entity type
Organization (Type 2)
Enumeration date
August 31, 2023
Last updated
August 31, 2023
Certified
August 31, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthetic/Orthotic Supplier Primary 335E00000X — —

Mailing address

3322 Saint Vincent Ave
Saint Louis, MO 63104-1338
Phone
(314) 922-3553

Authorized official

Name
Monique R Fulks
Title
CEO
Phone
(314) 922-3553

Other names

  • BRAVE Essentials

About Brave Essentials LLC

Brave Essentials LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Prosthetic/Orthotic Supplier (code 335E00000X). The practice location is 6018 Delmar Blvd, Saint Louis, MO 63112-1402. The NPI number 1972388445 was assigned on August 31, 2023 and the record was last updated on August 31, 2023.

The authorized official for this organization is Monique R Fulks, CEO.

Frequently asked questions

What is the NPI number of Brave Essentials LLC?

The NPI number is 1972388445.

What is the phone number of Brave Essentials LLC?

The phone number listed for the practice location is (314) 915-9740.

Where is Brave Essentials LLC located?

6018 Delmar Blvd, Saint Louis, MO 63112-1402.

What is the taxonomy code for Brave Essentials LLC?

The primary taxonomy code is 335E00000X – Prosthetic/Orthotic Supplier.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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