Active NPI
Karen R Bravo, MD
- Diagnostic Radiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME80710
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (305) 505-0455
- NPI assigned
- Nov 30, 2006
- Last updated
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA09182500 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | ME80710 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
15500 SW 200TH St
Miami, FL 33187-3000
Phone (305) 505-0455
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305651 | Medicaid | NJ | |
| 259354800 | Medicaid | FL | |
| P01097924 | Other | NJ | RR MEDICARE |
| P01097970 | Other | NJ | RR MEDICARE |
| P01097933 | Other | NJ | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Hahnemann University College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Giralda Ave
Coral Gables, FL 33134-5303
Phone (904) 399-5550
1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580
13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550
14660 SW 8TH St
Suite 120
Miami, FL 33184-3135
Phone (786) 596-4200
15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (904) 399-5550
15955 SW 96 St
Miami, FL 33196-1272
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320
3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550
3301 Overseas Hwy
Marathon, FL 33050-2329
Phone (904) 399-5550
5000 University Dr
Coral Gables, FL 33146-2008
Phone (904) 399-5550
6200 SW 73 St
South Miami, FL 33143-4679
Phone (904) 399-5550
6264 W Sample Rd
Coral Springs, FL 33067-3273
8725 SW 136TH St
Miami, FL 33176-5814
8840 Bird Rd
Suite 300
Miami, FL 33165-5482
Phone (786) 596-3880
8900 N Kendall Dr
Miami, FL 33176-2118
Phone (904) 399-5550
8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200
91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (904) 399-5550
975 Baptist Way
Homestead, FL 33033-7600
Phone (904) 399-5550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137181 | CA | MD | Marriage & Family Therapist |
| ME80710 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| American Imaging of Southwest Florida,Inc | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rose Radiology Centers, LLC | Current | Accepting new patients | |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Women Center for Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Ami Atlanticare LLC | Past | Accepting new patients | |
| Atlantic Medical Imaging | Past | Accepting new patients | |
| North Valley Breast Clinic | Past | Accepting new patients | |
| Elite Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2925 Aventura Blvd
Ste 100101
Aventura, FL 33180
Phone (305) 692-2222
2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222
1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400
1640 N Maitland Ave
#1020
Maitland, FL 32751
Phone (407) 363-2772
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200
8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1621 N Mills Ave
Orlando, FL 32803
Phone (407) 581-4147
1718 S Orange Ave
Orlando, FL 32806
Phone (407) 581-4147
1781 Park Center Dr
Ste 110
Orlando, FL 32835
Phone (407) 253-7190
1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001
23081 Harborview Rd
Punta Gorda, FL 33980
Phone (941) 235-8762
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054
964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051
6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCDABD
- klevy54556@direct.med.miami.edu
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Port Charlotte, FL
- NPI 1164888954
-
dba Rayus Radiology
- Diagnostic Radiology Physician
- Oviedo, FL
- NPI 1871560201
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1952396194
-
- Surgery Physician
- Redding, CA
- NPI 1215951371
-
dba Baptist Health Infusion Care Pharmacy
- Home Infusion Therapy Pharmacy
- Miami Lakes, FL
- NPI 1316662299
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- Critical Access Hospital
- Marathon, FL
- NPI 1235669110
-
dba Homestead Hospital
- General Acute Care Hospital
- Homestead, FL
- NPI 1578547865
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1376610444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15500 SW 200TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331873000",
"telephone_number": "305-505-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-505-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "KAREN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09182500",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME80710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0305651",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259354800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01097924",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01097970",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01097933",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.