Bravo Health Pennsylvania, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

11524 Issued in PA

Legal business name

BRAVO HEALTH PENNSYLVANIA, INC.

Practice address

1500 Spring Garden St
Philadelphia, PA 19130-4067

Phone

(832) 553-3375

NPI assigned

Jan 2, 2014

Organization subpart

Yes

Parent organization

CIGNA CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Marlena Powell Pickering, ESQUIRE

Title

Corporate Counsel

Phone

(571) 401-5886

Specialties & licenses 1

Addresses

Part of

Cigna Home Delivery Pharmacy

Locations

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1326469735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304067",
            "telephone_number": "832-553-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304067",
            "telephone_number": "832-553-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO HEALTH PENNSYLVANIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIGNA CORPORATION",
        "enumeration_date": "2014-01-02",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "571-401-5886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "11524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliza S Braverman, MD
• Coral Braverman
• Debra L Braverman, M.D.
• Staci Jill Braverman, PHYSICAL THERAPIST
• Bravo Health Advanced Care Center, P.C.
• Itzel Vanessa Bravo, RPH
• Paco Eduardo Bravo, MD
• Willie C Brawn, MHP
• Kimberli M Brawner, RN
• Andrea C Braxton, MED, NCC, LPC

• Health Maintenance Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Health Maintenance Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.