Organization Active NPI

Francisco Efrian Bravo Jr MD PC

  • Ambulatory Surgical Clinic/Center
  • Tahlequah, OK
National Provider Identifier
1104018217
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
19440 Issued in OK
Legal business name
FRANCISCO EFRIAN BRAVO JR MD PC
Practice address
302 E Downing St
Tahlequah, OK 74464-3014
Phone
(918) 456-0655
Fax
(918) 456-1356
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Francisco Efrian Bravo Jr., MD PCNPI 1548201288
Title
Owner
Phone
(918) 456-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 19440 OK Primary

Addresses

Primary practice location

302 E Downing St
Tahlequah, OK 74464-3014

Mailing address

302 E Downing St
Tahlequah, OK 74464-3014
Phone (918) 456-0655

National Provider Directory

National Provider Directory

Locations

302 E Downing St
Tahlequah, OK 74464
Phone (915) 456-0655

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1104018217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643014",
            "telephone_number": "918-456-0655",
            "fax_number": "918-456-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643014",
            "telephone_number": "918-456-0655",
            "fax_number": "918-456-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCO EFRIAN BRAVO JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "EFRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-456-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "19440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.