Organization Active NPI

Victor Bravo Healthcare PLLC

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1821748203
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VICTOR BRAVO HEALTHCARE PLLC
Practice address
4365 W Cherry LN
Meridian, ID 83642-5433
Phone
(208) 484-9468
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Dr. Sarah Curtright, DNPNPI 1023439213
Title
Medical Director
Phone
(208) 484-9468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4365 W Cherry LN
Meridian, ID 83642-5433

Mailing address

4365 W Cherry LN
Meridian, ID 83642-5433
Phone (208) 484-9468

Other identifiers 2

IdentifierTypeStateIssuer
1023439213OtherIDNPI
1033641154OtherNPI NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 340-202-1126 Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1821748203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425433",
            "telephone_number": "208-484-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425433",
            "telephone_number": "208-484-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR BRAVO HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "CURTRIGHT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-484-9468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023439213",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1033641154",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "340-202-1126",
            "affiliation": "N",
            "endpointDescription": "Doximity fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fac",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "4365 W Cherry Ln",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836425433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.