Active NPI
Bravo Medical International LLC
- Case Management Registered Nurse
- Bogart, GA
National Provider Identifier
1710874482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- Legal business name
- BRAVO MEDICAL INTERNATIONAL LLC
- Practice address
- 1030 Branch Farm PT
Bogart, GA 30622-2780 - Phone
- (404) 333-4741
- NPI assigned
- Jun 23, 2025
- Last updated
- Jul 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John E Rosich III
- Title
- President
- Phone
- (404) 333-4741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | Primary |
Addresses
Primary practice location
1030 Branch Farm PT
Bogart, GA 30622-2780
Mailing address
1030 Branch Farm PT
Bogart, GA 30622-2780
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752105600000",
"number": "1710874482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 BRANCH FARM PT",
"city": "BOGART",
"state": "GA",
"postal_code": "306222780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 BRANCH FARM PT",
"city": "BOGART",
"state": "GA",
"postal_code": "306222780",
"telephone_number": "404-333-4741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVO MEDICAL INTERNATIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "ROSICH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-333-4741",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.