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BRAVO HEALTH ADVANCED CARE CENTER P.C. NPI 1265674592


NPI Information

NPI: 1265674592
Provider Name: BRAVO HEALTH ADVANCED CARE CENTER, P.C.
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1601 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19192
Phone: (267) 238-5825
Get Directions

BRAVO HEALTH ADVANCED CARE CENTER, P.C. is a geriatric medicine family medicine in Philadelphia, PA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. BRAVO HEALTH ADVANCED CARE CENTER, P.C. NPI is 1265674592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19192-071
Phone: (267) 238-5825
Fax: (855) 803-5322

The provider's authorized official is Dirk Wales .
The authorized official title is President and has the following contact phone number (615) 236-6100.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 12/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineMD038974EPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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