NPIMap

Individual provider Active NPI

Kimiko Joy Bravo, MD

  • Psychiatry Physician
  • Juneau, AK
National Provider Identifier
1982165064
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD61188557 Issued in WA
Practice address
3051 Vintage Blvd
Juneau, AK 99801
Phone
(206) 520-5000
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD61188557 WA Primary

Addresses

Primary practice location

3051 Vintage Blvd
Juneau, AK 99801

Mailing address

3051 Vintage Blvd
Juneau, AK 99801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, AK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230711000001 WA Practitioner - Psychiatry 9638538507 Reassigns benefits to 1 organization
I20241029001603 TX Practitioner - Psychiatry 9638538507 Reassigns benefits to 1 organization
I20251114001918 AK Practitioner - Psychiatry 9638538507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mat Su Valley Medical Center LLC Internal Medicine Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 2, 2024 Accepting new patients
Mat-Su Valley III LLC CurrentSince Dec 1, 2025 Accepting new patients
Mat-Su Valley III LLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 2, 2024 Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Dec 1, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

3051 Vintage Blvd
Juneau, AK 99801
Phone (907) 463-0100

2480 S Woodworth Loop
Ste 285
Palmer, AK 99645
Phone (907) 861-6035

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: kurata841596@wm.providencedirect.org

Organizations & group practices 8

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1982165064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 VINTAGE BLVD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VINTAGE BLVD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "KIMIKO",
        "middle_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61188557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.