Individual provider Active NPI

Belkys Bravo, MD

  • Pediatrics Physician
  • Coral Gables, FL
National Provider Identifier
1669583118
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME64617 Issued in FL
Practice address
1920 Coral Way
Coral Gables, FL 33145-2624
Phone
(305) 250-9910
Fax
(305) 250-4336
NPI assigned
Aug 31, 2006
Last updated
May 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME64617 FL Primary

Addresses

Primary practice location

1920 Coral Way
Coral Gables, FL 33145-2624

Mailing address

1920 Coral Way
Coral Gables, FL 33145-2624
Phone (305) 250-9910

Other identifiers 7

IdentifierTypeStateIssuer
002571OtherFLNEIGHBORHOOD
211448OtherFLAMERIGROUP
374129000MedicaidFL
F90000OtherFLUPIN
255635OtherFLAVMED
230659OtherFLWELLCARE
25970OtherFLBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME64617FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belkys Bravo MD PA Pediatrics Current Accepting new patients

Locations

1920 Coral Way
Miami, FL 33145
Phone (305) 250-9910

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3b364ba7-1e24-4e24-b187-fb3fc86431d8/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1669583118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452624",
            "telephone_number": "305-250-9910",
            "fax_number": "305-250-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452624",
            "telephone_number": "305-250-9910",
            "fax_number": "305-250-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "BELKYS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME64617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "002571",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "211448",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374129000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F90000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "255635",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "230659",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "25970",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.