Organization Active NPI

Bravo DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Pflugerville, TX
National Provider Identifier
1972822674
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
801218214 Issued in TX
Legal business name
BRAVO DME LLC
Practice address
902 Old Austin Hutto Rd
Suite 102
Pflugerville, TX 78660-4116
Phone
(512) 990-5440
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Mr. Josephat Valdez
Title
President
Phone
(512) 784-0313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 801218214 TX Primary

Addresses

Primary practice location

902 Old Austin Hutto Rd
Suite 102
Pflugerville, TX 78660-4116

Mailing address

902 Old Austin Hutto Rd
Suite 102
Pflugerville, TX 78660-4116
Phone (512) 990-5440

National Provider Directory

National Provider Directory

Locations

902 Old Austin Hutto Rd
Ste 102
Pflugerville, TX 78660
Phone (512) 990-5440

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1972822674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 OLD AUSTIN HUTTO RD",
            "address_2": "SUITE 102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604116",
            "telephone_number": "512-990-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 OLD AUSTIN HUTTO RD",
            "address_2": "SUITE 102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604116",
            "telephone_number": "512-990-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSEPHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-784-0313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "801218214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.