Provider Demographics
NPI:1437856853
Name:JONATHAN BRATTER, DO FACOG PA
Entity Type:Organization
Organization Name:JONATHAN BRATTER, DO FACOG PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BRATTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-261-4170
Mailing Address - Street 1:3489 NW 82ND TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3165
Mailing Address - Country:US
Mailing Address - Phone:954-559-3765
Mailing Address - Fax:954-447-2098
Practice Address - Street 1:141 SHANEEHAW AVE SOUTH
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604
Practice Address - Country:US
Practice Address - Phone:828-357-7314
Practice Address - Fax:828-372-4679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty