Patricia Bravo M.D,P.a

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PATRICIA BRAVO M.D,P.A

Doing business as

Bravo Health Care Center

Practice address

1440 79TH Street Cswy
Suite #1400
North Bay Village, FL 33141-4188

Phone

(305) 763-8573

Fax

(305) 763-8574

NPI assigned

Oct 1, 2009

Last updated

Jun 10, 2012By 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. Patricia Bravo, MDNPI 1013938810

Title

Director

Phone

(305) 763-8573

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bravo Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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.

• Patricia Bravo, MD

  • General Practice Physician
  • North Bay Village, FL
  • NPI 1013938810

  Psychiatry

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1235463654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 79TH STREET CSWY",
            "address_2": "SUITE #1400",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414188",
            "telephone_number": "305-763-8573",
            "fax_number": "305-763-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 79TH STREET CSWY",
            "address_2": "SUITE #1400",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414188",
            "telephone_number": "305-763-8573",
            "fax_number": "305-763-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BRAVO M.D,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-763-8573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 91464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235463654",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267682600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Medicine Physician in North Bay Village, FL
• Providers in North Bay Village, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; 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.