Active NPI
Erin Bravo, M.D.
- Diagnostic Radiology Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 60569
- Practice address
- 600 Highland Ave # H4831
Madison, WI 53792-0001 - Phone
- (608) 263-8340
- Fax
- (608) 263-0682
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 60569 | WI | Primary |
Addresses
Primary practice location
600 Highland Ave # H4831
Madison, WI 53792-0001
Mailing address
15601 Dallas Pkwy Ste 500
Addison, TX 75001-6021
Phone (469) 398-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Creighton University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11220 N Tatum Blvd
Suite 105
Phoenix, AZ 85028-1629
Phone (602) 493-0204
1661 E Camelback Rd
Suite 140
Phoenix, AZ 85016-3957
Phone (602) 234-2601
18699 N 67TH Ave
Suite 110
Glendale, AZ 85308-7141
Phone (623) 218-7700
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60569 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben-Ora Hansen & Vanesian Imaging LTD | Diagnostic Radiology | Current | Accepting new patients |
| Ben-Ora, Hansen & Vanesian Imaging | Past | Accepting new patients | |
| Ben-Ora Hansen & Vanesian Imaging | Past | Accepting new patients | |
| Ben-Ora, Hansen, & Vanesian Imaging | Past | Accepting new patients |
Locations
2081 W Frye Rd
Ste 110
Chandler, AZ 85224
Phone (480) 499-9101
18699 N 67th Ave
Ste 110
Glendale, AZ 85308
Phone (623) 218-7700
11220 N Tatum Blvd
Ste 105
Phoenix, AZ 85028
Phone (602) 234-2601
1661 E Camelback Rd
Ste 140
Phoenix, AZ 85016
Phone (602) 234-2601
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1518004290
-
- Mammography Clinic/Center
- Chandler, AZ
- NPI 1548547029
-
- Mammography Clinic/Center
- Glendale, AZ
- NPI 1215204383
-
- Mammography Clinic/Center
- Phoenix, AZ
- NPI 1629345707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1912294653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15601 DALLAS PKWY STE 500",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016021",
"telephone_number": "469-398-4100",
"fax_number": "469-398-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE # H4831",
"city": "MADISON",
"state": "WI",
"postal_code": "537920001",
"telephone_number": "608-263-8340",
"fax_number": "608-263-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO",
"first_name": "ERIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "60569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.