Provider Demographics
NPI:1740438894
Name:BRAVERMAN, RON ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:ALEXANDER
Last Name:BRAVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:401 HILLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3541
Mailing Address - Country:US
Mailing Address - Phone:703-999-1153
Mailing Address - Fax:877-991-8992
Practice Address - Street 1:3300 GALLOWS RD FL 1
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-4005
Practice Address - Fax:703-776-7068
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012333434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine