Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bravadas Fairfax LLC

Organization Prosthetic/Orthotic Supplier · NPI 1497822910

Bravadas Fairfax LLC is a Prosthetic/Orthotic Supplier in Fairfax, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11204 Lee Hwy Ste A-1
Fairfax, VA 22030-5007
Phone: (703) 352-4247
Fax: (703) 403-0543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1497822910
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Linehan — Owner · (703) 402-2826
Other names Bravadas Wig Design
NPI enumeratedNovember 29, 2006
Last updated in NPPESFebruary 6, 2011
Mailing address11204 Lee Hwy, Suite A-1, Fairfax, VA 22030-5007

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