Michael C Bravoco, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MA039936 Issued in NJ

Practice address

599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400

Phone

(609) 926-8353

Fax

(609) 926-4579

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1699747311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430536",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SHORE RD",
            "address_2": "SUITE 101",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442400",
            "telephone_number": "609-926-8353",
            "fax_number": "609-926-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVOCO",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA039936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannine Denise Bournias, AGNP
• Caroline Bowman
• Emilee Bradshaw
• Gene J Braga, M.D.
• Brandy Lee Brown LCSW
• Robert Bray, DDS
• Joshua Leigh Breslin, MD
• George Bross, MD
• Grady Brozyna, PT, OCS
• Theresa Marie Brumble, CMMP, LMT, RT(R)(CT)

• All providers in Somers Point, NJ
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.