Albert a. Bravo D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2043 Issued in MA

Legal business name

ALBERT A. BRAVO D.P.M.

Practice address

800 North St
Pittsfield, MA 01201-4110

Phone

(413) 448-3668

Fax

(413) 442-4716

NPI assigned

Mar 12, 2007

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Albert A. Bravo, D.P.M.NPI 1740391861

Title

Owner

Phone

(413) 448-3668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albert Bravo

  • Podiatrist
  • Pittsfield, MA
  • NPI 1740391861
  Medicare reassignment NPD Authorized official
• Martin A Davidson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Plattsburgh, NY
  • NPI 1184633133
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1073645024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014110",
            "telephone_number": "413-448-3668",
            "fax_number": "413-442-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014110",
            "telephone_number": "413-448-3668",
            "fax_number": "413-442-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT A. BRAVO D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-448-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307629",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "Y77270",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Al-Jarah
• Alan W. Metzger, DDS,PC
• Diane J Albano, BSN RN
• Stephen F Albareda Jr.
• Zachary John Albareda
• David A Albert, M.D.
• Kyneret Albert, MD
• Ericka Marie Albright
• Alc Corp (ALC Outpatient)
• Fozan Aldulaijan, M.D.

• Podiatrist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.