Individual provider Active NPI

Patricia Bravo, MD

  • General Practice Physician
  • North Bay Village, FL
National Provider Identifier
1013938810
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME 91464 Issued in FL
Practice address
1666 79TH Street Cswy Ste 506
North Bay Village, FL 33141-4178
Phone
(305) 763-8573
Fax
(305) 763-8574
NPI assigned
Jul 21, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME91464 FL
General Practice Physician 208D00000X ME 91464 FL Primary

Addresses

Primary practice location

1666 79TH Street Cswy Ste 506
North Bay Village, FL 33141-4178

Mailing address

1666 79TH Street Cswy Ste 506
North Bay Village, FL 33141-4178
Phone (305) 763-8573

Other identifiers 1

IdentifierTypeStateIssuer
267682600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000956 FL Practitioner - General PracticePractitioner - Psychiatry 0143254110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1440 79 St Cswy
North Bay Village, FL 33141-4188
Phone (305) 763-8573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 91464FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Bravo M.D,P.a Psychiatry CurrentSince Mar 17, 2010 Accepting new patients
Huberto E Merayo M D P a Past Accepting new patients

Locations

2387 W 68th St
Ste 301
Hialeah, FL 33016
Phone (305) 381-5301

1440 Kennedy Cswy
Ste 1400
North Bay Village, FL 33141
Phone (305) 763-8573

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1013938810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 79TH STREET CSWY STE 506",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414178",
            "telephone_number": "305-763-8573",
            "fax_number": "305-763-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 79TH STREET CSWY STE 506",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414178",
            "telephone_number": "305-763-8573",
            "fax_number": "305-763-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME91464",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 91464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267682600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

Verify at the official NPI Registry.