STEPHEN M. BRAVO MD NPI 1225011281

NPI Information

NPI: 1225011281
Provider Name: STEPHEN M. BRAVO, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
9350 TURKEY LAKE RD
ORLANDO, FL
ZIP 32819
Phone: (407) 363-2772
Get Directions

Stephen M. Bravo, MD is a diagnostic radiology radiology in Orlando, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Stephen M. Bravo, MD NPI is 1225011281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9350 TURKEY LAKE RD
ORLANDO, FL
ZIP 32819-319
Phone: (407) 363-2772
Fax: (407) 745-2844

The NPI 1225011281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 1/20/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	216768	NEW YORK	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME83499	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	267291000	MEDICAID	FLORIDA
2	G65761	MEDICARE UPIN
3	80038Y	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	80038Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
5	80038	OTHER	FLORIDA	BC BS OF FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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