Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRAVE ATHLETICS & WELLNESS LLC
NPI 1104738798
Nurse Practitioner - Family in Mesa, AZ

Q: What is Brave Athletics & Wellness LLC's NPI number?

The NPI number for Brave Athletics & Wellness LLC is 1104738798. It was assigned to this organization in the NPPES registry on September 19, 2026.

Q: What is Brave Athletics & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 19, 2026

9932 E ROTATION DR, MESA, AZ 85212(602) 670-0124 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, Sep 22, 2026, Sep 19, 2026 (3 updates tracked since 2026).

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About Brave Athletics & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVE ATHLETICS & WELLNESS LLC (NPI 1104738798) is a healthcare organization registered as a family in Mesa, Arizona and active in the NPI registry since September 2026. The organization lists Scott Braverman, President, as its authorized official.

NPPES Registry Identity

NPI1104738798

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameBRAVE ATHLETICS & WELLNESS LLC

Location Address9932 E ROTATION DRMesa, AZ 85212-9009

Mailing Address1155 S Power Rd Ste 114, #581Mesa, AZ 85206-3716

Phone(602) 670-0124

Organization SubpartNo

Authorized OfficialScott BravermanPresident · (480) 382-0450

Enumeration DateSeptember 19, 2026

Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1104738798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

9932 E ROTATION DR, Mesa, AZ 85212

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brave Athletics & Wellness LLC's NPI number?

The NPI number for Brave Athletics & Wellness LLC is 1104738798. It was assigned to this organization in the NPPES registry on September 19, 2026.

Where is Brave Athletics & Wellness LLC located?

Brave Athletics & Wellness LLC is located at 9932 E Rotation Dr, Mesa, AZ 85212. The listed phone number is (602) 670-0124.

What is Brave Athletics & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brave Athletics & Wellness LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.