Active NPI
Joseph Caravalho Jr., MD
- Nuclear Cardiology Physician
- Fort Bragg, NC
National Provider Identifier
1235227091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- Practice address
- 2817 Reilly Road
Womack Army Medical Center MCXC Cod Credentials
Fort Bragg, NC 28310 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | MD5196 | HI | |
| Nuclear Cardiology Physician | 207UN0901X | 0101053168 | VA | |
| Nuclear Cardiology Physician | 207UN0901X | NC | Primary |
Addresses
Primary practice location
2817 Reilly Road
Womack Army Medical Center MCXC Cod Credentials
Fort Bragg, NC 28310
Mailing address
2817 Reilly Road
Womack Army Medical Center MCXC Cod Credentials
Fort Bragg, NC 28310
Phone (910) 907-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5196 | HI | MD | Nuclear Cardiology Physician |
| 200301444 | NC | MD | Nuclear Cardiology Physician |
| 0101053168 | VA | MD | Nuclear Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235227091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "WOMACK ARMY MEDICAL CENTER MCXC COD CREDENTIALS",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "WOMACK ARMY MEDICAL CENTER MCXC COD CREDENTIALS",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAVALHO",
"first_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "HI",
"license": "MD5196",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "VA",
"license": "0101053168",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.