Active NPI
Belkys Bravo, MD
- Pediatrics Physician
- Coral Gables, FL
National Provider Identifier
1669583118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME64617
- 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, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002571 | Other | FL | NEIGHBORHOOD |
| 211448 | Other | FL | AMERIGROUP |
| 374129000 | Medicaid | FL | |
| F90000 | Other | FL | UPIN |
| 255635 | Other | FL | AVMED |
| 230659 | Other | FL | WELLCARE |
| 25970 | Other | FL | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME64617 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belkys Bravo MD PA | Pediatrics | Current | Accepting new patients |
Locations
1920 Coral Way
Miami, FL 33145
Phone (305) 250-9910
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Coral Gables, FL
- NPI 1376524306
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.