Organization Active NPI

Bravo Dermatology LLC

  • Dermatology Physician
  • Covington, LA
National Provider Identifier
1962334045
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BRAVO DERMATOLOGY LLC
Practice address
70473 Landry Kate LN
Covington, LA 70433-5625
Phone
(985) 205-8113
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Dr. Monica Bravo, MDNPI 1699303636
Title
Dermatologist/Owner
Phone
(985) 237-8694

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

70473 Landry Kate LN
Covington, LA 70433-5625

Mailing address

474 S Chenier Dr
Madisonville, LA 70447-9389
Phone (985) 205-8113

National Provider Directory

National Provider Directory

Locations

70473 Landry Kate Ln
Covington, LA 70433
Phone (985) 205-8113

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": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1962334045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 S CHENIER DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479389",
            "telephone_number": "985-205-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70473 LANDRY KATE LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335625",
            "telephone_number": "985-205-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DERMATOLOGIST/OWNER",
        "authorized_official_telephone_number": "985-237-8694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.