Active NPI
Bravo Dermatology LLC
- Dermatology Physician
- Covington, LA
National Provider Identifier
1962334045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Bravo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.