Provider Demographics
NPI:1336101237
Name:BRAVE, MICHAEL HOLMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HOLMAN
Last Name:BRAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8712 CAMERON ST
Mailing Address - Street 2:APARTMENT 203
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3701
Mailing Address - Country:US
Mailing Address - Phone:443-695-7878
Mailing Address - Fax:
Practice Address - Street 1:55 WADE AVE
Practice Address - Street 2:SPRING GROVE HOSPITAL CENTER
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4663
Practice Address - Country:US
Practice Address - Phone:410-402-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD36131146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant