Individual provider Active NPI

Karen R Bravo, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1376610444
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME80710 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 505-0455
NPI assigned
Nov 30, 2006
Last updated
Jun 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0305651MedicaidNJ
259354800MedicaidFL
P01097924OtherNJRR MEDICARE
P01097970OtherNJRR MEDICARE
P01097933OtherNJRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031117000453 FL Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 5395659122 Reassigns benefits to 7 organizations
I20150903000779 CA Practitioner - Diagnostic Radiology 5395659122 Reassigns benefits to 1 organization

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
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

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

LicenseStateTypeSpecialty
137181CAMDMarriage & Family Therapist
ME80710FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 13, 2023 Accepting new patients
American Imaging of Southwest Florida,Inc Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Baptist Outpatient Services Inc CurrentSince May 13, 2023 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Aug 24, 2020 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Mar 12, 2007 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Aug 24, 2020 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Women Center for Radiology Diagnostic Radiology CurrentSince Feb 18, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCDABD
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.