Bravura Foot and Ankle Specialists, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BRAVURA FOOT AND ANKLE SPECIALISTS, PLLC

Doing business as

Bravura FAS

Practice address

1130 Beachview St Ste 200
Dallas, TX 75218-3705

Phone

(214) 321-9410

NPI assigned

Sep 4, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Wylie Burge, DPMNPI 1447781281

Title

Owner

Phone

(214) 321-9410

Specialties & licenses 1

Addresses

Other names 1

• Bravura FAS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Wylie Burge, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1447781281

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Courtney McClurkin, DPM

  • Podiatrist
  • Dallas, TX
  • NPI 1053838177
  Medicare reassignment Care Compare group NPD
• Brett Allan Gabriel, D.P.M.

  • Podiatrist
  • Dallas, TX
  • NPI 1558471763
  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1740894807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752180221",
            "telephone_number": "214-321-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BEACHVIEW ST STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183705",
            "telephone_number": "214-321-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVURA FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-321-9410",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravura FAS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bravura FAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bravo Dental
• Bravo Dental
• Bravo Smiles
• Bravo Smiles
• Bravo Smiles
• Tacarol Brawley, PMHNP, APRN-CNP
• Alison Wimberley Bray, RN, MSN, CPNP-PC
• Steven R Bray, M.D.
• Emily D Brayton, LPC-A
• Ryann Jenel Brazier-Carter, LMT

• Foot & Ankle Surgery Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.