Bravo Health Advanced Care Center, P.C.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MD038974E Issued in PA

Legal business name

BRAVO HEALTH ADVANCED CARE CENTER, P.C.

Practice address

1601 Chestnut St
Philadelphia, PA 19192-4071

Phone

(267) 238-5825

Fax

(855) 803-5322

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dirk Wales, MD

Title

President

Phone

(615) 236-6100

Specialties & licenses 1

Addresses

Locations

Practitioners 7

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

• Joshua Henry Bennett, M.D

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1467558973
  NPD (past)
• Dawn Marie Delaney-Swain, RPH

  • Pharmacist
  • Philadelphia, PA
  • NPI 1922519016
  NPD (past)
• Zamir Hassan, MD

  • Pulmonary Disease Physician
  • Philadelphia, PA
  • NPI 1891788188
  NPD (past)
• Katherine A Behan, MD

  • Internal Medicine Physician
  • Middletown, RI
  • NPI 1376593491
  NPD (past)
• Jeffrey Heit, MD

  • Hospitalist Physician
  • Burlington, MA
  • NPI 1508893447
  NPD (past)
• Shahid Nasir Malik, MD

  • Hospitalist Physician
  • Johnson City, NY
  • NPI 1912927161
  NPD (past)
• Kristin Parris, MD

  • Internal Medicine Physician
  • Westbrook, ME
  • NPI 1386632289
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1265674592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SPRING GARDEN ST STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304071",
            "telephone_number": "267-238-5825",
            "fax_number": "855-803-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191924071",
            "telephone_number": "267-238-5825",
            "fax_number": "855-803-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Spring Garden St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191304071",
            "country_code": "US",
            "telephone_number": "267-238-5825",
            "fax_number": "855-803-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAVO HEALTH ADVANCED CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "WALES",
        "authorized_official_first_name": "DIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-236-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD038974E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Braun
• Aliza S Braverman, MD
• Coral Braverman
• Debra L Braverman, M.D.
• Staci Jill Braverman, PHYSICAL THERAPIST
• Bravo Health Pennsylvania, Inc.
• Itzel Vanessa Bravo, RPH
• Paco Eduardo Bravo, MD
• Willie C Brawn, MHP
• Kimberli M Brawner, RN

• All providers in Philadelphia, PA
• Geriatric Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.