Active NPI
Dena Marie Bravata, M.D., M.S.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1962530360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A055326
- Practice address
- 2100 Webster St
Suite 418
San Francisco, CA 94115-2373 - Phone
- (415) 923-3025
- Fax
- (415) 749-5722
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A055326 | CA | Primary |
Addresses
Primary practice location
2100 Webster St
Suite 418
San Francisco, CA 94115-2373
Mailing address
2100 Webster St
Suite 418
San Francisco, CA 94115-2373
Phone (415) 923-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A055326 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Felix Millhouse, MD a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Daly City, CA
- NPI 1316135965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1962530360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "SUITE 418",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-923-3025",
"fax_number": "415-749-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "SUITE 418",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-923-3025",
"fax_number": "415-749-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVATA",
"first_name": "DENA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A055326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.