Gabriel Bravo, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601003760 Issued in MI

Practice address

2 Heritage Oak LN
Battle Creek, MI 49015-4250

Phone

(269) 979-6360

Fax

(269) 979-6380

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.91 of 100Reported as group

Quality

83.03

Promoting interoperability

100

Improvement activities

40

Cost

76.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Bronson Battle Creek Hospital

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1093119638
  Medicare reassignment NPD
• Battle Creek Sports Medicine and Orthopedic Center, PC

  • Orthopaedic Surgery Physician
  • Battle Creek, MI
  • NPI 1598777351
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1992819759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HERITAGE OAK LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154250",
            "telephone_number": "269-979-6360",
            "fax_number": "269-979-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HERITAGE OAK LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154250",
            "telephone_number": "269-979-6360",
            "fax_number": "269-979-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "GABRIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601003760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystyna Brandt, PSYD
• Natasha Nicole Brandt
• Shannon Brandt
• Glen Allan Brasseur, DC
• Taylor Nicole Brauchla, DDS
• Mallory Breitkreuz, LLMSW
• Kristin Brennan, LMSW
• Kathi Brenner
• Kevin A Brewton, M.D.
• Tonya Bridges

• Surgical Physician Assistant in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.