Fernando B Bravo MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A72360 Issued in CA

Legal business name

FERNANDO B BRAVO MD INC

Practice address

3110 Latte Lane
Bakersfield, CA 93312-2141

Phone

(661) 327-4712

Fax

(661) 327-4004

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fernando B. Bravo, M.D.NPI 1245262104

Title

President/Physician

Phone

(661) 327-4712

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando B Bravo, M.D.

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1245262104
  NPD Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1043257314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20207",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900207",
            "telephone_number": "661-327-4712",
            "fax_number": "661-327-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 LATTE LANE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122141",
            "telephone_number": "661-327-4712",
            "fax_number": "661-327-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO B BRAVO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "661-327-4712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A72360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF3572",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A723600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Lus Fernandez Jr.
• Lorena Fernandez
• Maria Fernandez
• Mary Fernandez, DC
• Yoana Fernandez
• Gerard Iru Irantha Fernando, M.D.
• Joseph William Ferra, M.S.
• Kristopher Ferrari, PHARM. D
• Guadalupe Janett Ferrer Arellano
• Lauren Gabrielle Ferrer

• Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.