OrganizationActive
Brave Essentials LLC
NPI 1972388445 · Prosthetic/Orthotic Supplier · Saint Louis, MO
Provider details
- NPI number
- 1972388445
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Monique Fulks, Ceo(314) 922-3553
Specialties & taxonomies
Suppliers
Practice location
6018 Delmar Blvd
Saint Louis, MO 63112-1402
Phone: (314) 915-9740
Approximate (ZIP-level) locationGet directions
Mailing address
3322 Saint Vincent Ave
Saint Louis, MO 63104-1338
Other names (DBA / former)
- Doing business as
- Brave Essentials
Registry dates
- Enumerated
- 2023-08-31
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.