Individual provider Active NPI

Barry Alan Bravette, MD

  • Cardiovascular Disease Physician
  • Phila, PA
National Provider Identifier
1962404897
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD037092E Issued in PA
Practice address
1703 S Broad St
Suite 300
Phila, PA 19148-1536
Phone
(215) 463-5333
Fax
(215) 463-8085
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD037092E PA Primary

Addresses

Primary practice location

1703 S Broad St
Suite 300
Phila, PA 19148-1536

Mailing address

207 N Broad St FL 3
Phila, PA 19107-1500
Phone (215) 463-5333

Other identifiers 1

IdentifierTypeStateIssuer
0012390380007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000984 PA Practitioner - Cardiovascular Disease (Cardiology) 2466347034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

2301 S Broad St
Philadelphia, PA 19148-3542

301 Oxford Valley Rd
Suite 901
Yardley, PA 19067-7706
Phone (215) 321-7400

525 Jamestown St
Suite 107
Philadelphia, PA 19128-1751
Phone (215) 482-1607

700 Cottman Ave
BLDG B
Philadelphia, PA 19111-3062
Phone (215) 745-4100

915 Old Fern Hill Rd
Suite 5
West Chester, PA 19380-4269
Phone (610) 696-2850

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD037092EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2001 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2001 Accepting new patients
Cardiology Consultants of Philadelphia, P.C. Cardiovascular Disease CurrentSince Mar 1, 2005 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Methodist Associates in Healthcare Heart Station Cardiovascular Disease Past Accepting new patients

Locations

100 Green Ln
Ste 3
Bristol, PA 19007
Phone (215) 788-2011

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

525 Jamestown St
Ste 107
Philadelphia, PA 19128
Phone (215) 482-1607

1015 Chestnut St
Ste 512
Philadelphia, PA 19107
Phone (267) 479-4180

207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020

1809 W Oregon Ave
Fl 2
Philadelphia, PA 19145
Phone (215) 465-3435

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1962404897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST FL 3",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "215-463-5333",
            "fax_number": "215-463-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S BROAD ST",
            "address_2": "SUITE 300",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191481536",
            "telephone_number": "215-463-5333",
            "fax_number": "215-463-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVETTE",
        "first_name": "BARRY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD037092E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012390380007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.