DR. STEPHANIE CATHERINE BRAVO (NPI# 1194917716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194917716 |
Entity Type | Individual |
Full Name | DR. STEPHANIE CATHERINE BRAVO |
Credential | MD |
Practice Address |
4716 E Burns St Tucson AZ 85711-3015 |
Mailing Address |
Po Box 12674 Tucson AZ 85732-2674 |
Practice Telephone | 5209903222 |
Practice Fax Number | 5208676409 |
Mailing Telephone | 5209903222 |
Mailing Fax Number | 5208676409 |
Enumeration Date | 2007-08-16 |
Last Update Date | 2011-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
43580 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE | Z145166 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073912671 | Stephanie Bravo | Physical Therapist | 111 W Old Country Rd, Hicksville, NY 11801-4036 | 2014-08-19 |
Street Address |
4716 E BURNS ST |
City | TUCSON |
State | AZ |
Zip Code | 85711-3015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528358322 | Bravo Geriatrics | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2011-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
Find all providers in zip 85711 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has 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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
1568556561 | Vicki L Greiff Md | Internal Medicine | 1704 W Anklam, Suite 106, Tucson, AZ 85745 | 2006-10-03 |
1750328969 | Maressa M Alejandro Reyes | Internal Medicine | 1702 W. Anklam Road, Suite 111, Tucson, AZ 85745 | 2006-05-31 |
1598748428 | Milan Jansky | Internal Medicine | 1500 W Commerce Ct, Tucson, AZ 85746-6015 | 2005-11-23 |
1730160573 | Scott M Bolhack | Internal Medicine | 5130 North Circulo Sobrio, Tucson, AZ 85718-6036 | 2005-11-09 |
1295234615 | Emerald Care Pllc | Internal Medicine | 5390 E Erickson Dr, Tucson, AZ 85712-2822 | 2018-02-12 |
1285046706 | Shaun Chatelain | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724 | 2014-06-02 |
1487922290 | Kentromed Pllc | Internal Medicine | 6130 N La Cholla Blvd Ste 117, Tucson, AZ 85741-3589 | 2011-12-07 |
1528358322 | Bravo Geriatrics | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2011-04-13 |
1548417470 | Issa Y. Hallaq | Internal Medicine | 1 W Wetmore Rd, Suite 103, Tucson, AZ 85705-1687 | 2008-08-21 |
Find all providers in TUCSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.