Isabel Antoinette Bravo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12014466A Issued in IN

Practice address

233 E 84TH Dr Ste 106
Merrillville, IN 46410-6454

Phone

(219) 736-2309

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beck Dental Center, P.C.

  • Dental Clinic/Center
  • Merrillville, IN
  • NPI 1588388003
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1073357752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 WEXFORD RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858047",
            "telephone_number": "219-477-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E 84TH DR STE 106",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106454",
            "telephone_number": "219-736-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ISABEL",
        "middle_name": "ANTOINETTE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BPW (PBW)
• Bonnie Brabson
• Braden Partners LP
• Nichelle Bradley
• Andrea L Brandon Menefee, PSY.D.
• Larry R Brazley, MD
• Emilee Breidenbach
• Keith Brewer, DACM, L.AC.
• Susan L Breymeyer, LMHC
• Brian H. Weiss, M.D. PC

• Dentist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.