Eric Ward Bravo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05013 Issued in MD

Practice address

800 S Frederick Ave Ste 200
Gaithersburg, MD 20877-4152

Phone

(301) 233-5020

NPI assigned

Dec 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bravo Psychological Group LLCGroup PAC ID 6800299496, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bravo Psychological Group, LLC

  • Clinical Psychologist
  • Gaithersburg, MD
  • NPI 1902475973

  DC

  Medicare reassignment Care Compare group Authorized official
• BPG Premiercare LLC

  • Mental Health Counselor
  • Gaithersburg, MD
  • NPI 1083480602
  NPD Authorized official
• Bravo Psychological Group LLC.

  • Adult Mental Health Clinic/Center
  • Gaithersburg, MD
  • NPI 1245975630
  Authorized official Same address or phone

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1598034464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774152",
            "telephone_number": "301-233-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774152",
            "telephone_number": "301-233-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ERIC",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jacinda Branch, PA
• Pernell J Brantley
• M. Miles Braun, M.D.
• Bravo Psychological Group LLC.
• Bravo Psychological Group, LLC
• Petty Massiel Bravo
• Laya Bregier-Davila
• Sophie Breuer, LMSW
• Tamija Kychae Brice
• Aviva Brickman

• Clinical Psychologist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.

Verify at the official NPI Registry.