Bravo Geriatrics

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

43580 Issued in AZ

Legal business name

BRAVO GERIATRICS

Practice address

4716 E Burns St
Tucson, AZ 85711-3015

Phone

(520) 990-3222

Fax

(520) 867-6409

NPI assigned

Apr 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Bravo, M.D.NPI 1194917716

Title

President

Phone

(520) 990-3222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Catherine Bravo, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
  • NPI 1194917716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1528358322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12674",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857322674",
            "telephone_number": "520-990-3222",
            "fax_number": "520-867-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 E BURNS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113015",
            "telephone_number": "520-990-3222",
            "fax_number": "520-867-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-990-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "43580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z145166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Braun, BCBA
• Sulfa V Brauner, RN
• Daniel R Brauning, MPT ATC MTC
• Andrew Mark Braunstein, M.D.
• Ethan Bravin, RN
• Raquel Maria Bravo-Clouzet, MD, MPH
• Toni Bravo-Price, LCSW
• Sarah Bravo
• Stephanie Catherine Bravo, MD
• Antoinette Lee Bray, P.T.

• Geriatric Medicine (Internal Medicine) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.