Individual provider Active NPI

Jorge Luis Bravo, FNP-BC

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1477896405
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
703476 Issued in TX
Practice address
3906 N Inspiration Rd
Mission, TX 78573-9105
Phone
(956) 600-8166
Fax
(956) 600-8755
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 703476 TX Primary

Addresses

Primary practice location

3906 N Inspiration Rd
Mission, TX 78573-9105

Mailing address

3906 N Inspiration Rd
Mission, TX 78573-9105
Phone (956) 600-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130702000612 TX Practitioner - Nurse Practitioner 7113167735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Bravo Medical Services PLLCGroup PAC ID 4284996935, 3 clinicians

Practice addresses (Care Compare)

3906 N Inspiration Rd
Mission, TX 78573-9105
Phone (956) 600-8166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
703476TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Bravo Medical Services PLLC Family CurrentSince Mar 24, 2025 Accepting new patients

Locations

3906 N Inspiration Rd
Mission, TX 78573
Phone (956) 600-8166

2001 W Mile 3 Rd
Ste 2500
Mission, TX 78573

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1477896405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 N INSPIRATION RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785739105",
            "telephone_number": "956-600-8166",
            "fax_number": "956-600-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 N INSPIRATION RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785739105",
            "telephone_number": "956-600-8166",
            "fax_number": "956-600-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "703476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.