Miguel a Bravo MD Surgical Associates Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

52476 Issued in OH

Legal business name

MIGUEL A BRAVO MD SURGICAL ASSOCIATES INC

Practice address

420 S James St
Suite B
Dover, OH 44622-3206

Phone

(330) 602-7707

Fax

(330) 602-6071

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Miguel A Bravo, MD

Title

Medical Doctor Owner

Phone

(330) 602-7707

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1437339280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S JAMES ST",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223206",
            "telephone_number": "330-602-7707",
            "fax_number": "330-602-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S JAMES ST",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223206",
            "telephone_number": "330-602-7707",
            "fax_number": "330-602-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL A BRAVO MD SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR OWNER",
        "authorized_official_telephone_number": "330-602-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "52476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0933315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mellisa Metz
• Ethan R Meyer
• Mid American Imaging, Inc.
• David Anthony Migliore, D.D.S.
• Terrance A Migliore, DC
• John Michael Milburn, R.N.
• Andrew Wade Miller, D.P.M.
• Caitlin Leigh Nikole Miller
• Charli Ann Miller, APRN-CNP
• Jennalea Miller

• Specialist in Dover, OH
• Providers in Dover, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.