Organization Active NPI

Bravo Healthcare LLLP

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1295078590
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E9550 Issued in TX
Legal business name
BRAVO HEALTHCARE LLLP
Practice address
1140 Business Center Dr Ste 100
Houston, TX 77043-2740
Phone
(713) 464-7768
Fax
(713) 464-2436
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Cesar Bravo, M.D.NPI 1245216530
Title
Director of Operations
Phone
(713) 464-7768

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X E9550 TX Primary

Addresses

Primary practice location

1140 Business Center Dr Ste 100
Houston, TX 77043-2740

Mailing address

1140 Business Center Dr Ste 100
Houston, TX 77043-2740
Phone (713) 464-7768

National Provider Directory

National Provider Directory

Locations

1140 Business Center Dr
Ste 100
Houston, TX 77043
Phone (713) 464-7768

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1295078590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432740",
            "telephone_number": "713-464-7768",
            "fax_number": "713-464-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432740",
            "telephone_number": "713-464-7768",
            "fax_number": "713-464-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO HEALTHCARE LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "713-464-7768",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E9550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.