DR. ERIC WARD BRAVO (NPI# 1598034464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598034464 |
| Entity Type | Individual |
| Full Name | DR. ERIC WARD BRAVO |
| Credential | PSY.D. |
| Practice Address |
4 Professional Dr Gaithersburg MD 20879-3407 |
| Mailing Address |
415 Winter Walk Dr Gaithersburg MD 20878-7808 |
| Practice Telephone | 3017402900 |
| Mailing Telephone | 3012335020 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05013 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154402444 | Eric Bravo | Internal Medicine | 505 W Pershing Blvd Ste C, North Little Rock, AR 72114-2157 | 2006-10-17 |
| Street Address |
4 PROFESSIONAL DR |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922106731 | Donna Lynn Limparis | Dentist | 4 Professional Dr, #117, Gaithersburg, MD 20879-3424 | 2006-09-20 |
| 1821455825 | Jay W. Eubanks Jr. | Social Worker | 4 Professional Dr, #120, Gaithersburg, MD 20879-3407 | 2016-01-21 |
| 1144602798 | Kelly Zinna, Psy.d. | Community/Behavioral Health | 4 Professional Dr, Suite 110, Gaithersburg, MD 20879-3407 | 2015-06-19 |
| 1942581582 | Zinna & Amado Psychological Consulting | Psychologist | 4 Professional Dr, Suite 120, Gaithersburg, MD 20879-3407 | 2011-09-08 |
| 1144530957 | Danielle Megan Rosenblatt | Counselor | 4 Professional Dr, #120, Gaithersburg, MD 20879-3407 | 2010-10-14 |
| 1619114469 | Universal Health Systems Inc | Home Health | 4 Professional Dr, Suite 149, Gaithersburg, MD 20879-3407 | 2009-01-15 |
| 1053517383 | Don Azure | Counselor | 4 Professional Dr, Suite 120, Gaithersburg, MD 20879-3407 | 2007-06-24 |
| 1548382005 | John Gotlewski | Psychologist | 4 Professional Dr, #120, Gaithersburg, MD 20879-3407 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254559 | Kelli Dunlap | Psychologist | 301 Inspiration Ln, Gaithersburg, MD 20878-5817 | 2020-01-24 |
| 1336670389 | Quince Orchard Psychotherapy | Psychologist | 60 Market Street #213, Gaithersburg, MD 20878-6559 | 2017-03-22 |
| 1922551217 | Safe Harbor Christian Counseling | Psychologist | 8921 Warfield Rd, Gaithersburg, MD 20882-4430 | 2016-08-03 |
| 1346514288 | Glenetta Hudson Harris | Psychologist | 847 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878-1677 | 2012-02-23 |
| 1437458700 | Eve Helen Burkhardt | Psychologist | 403 Russell Ave, 5g, Gaithersburg, MD 20877-2819 | 2011-03-25 |
| 1780906438 | Margaret Farrell | Psychologist | 60 Market St Ste 213, Gaithersburg, MD 20878-6559 | 2010-02-23 |
| 1407085111 | Sean M Negola | Psychologist | 21407 Uppermont Ln, Gaithersburg, MD 20882-4873 | 2009-07-02 |
| 1417073487 | Elizabeth Carline Carr | Psychologist | 220 Main St Fl 2, Gaithersburg, MD 20878-5471 | 2007-03-22 |
| 1164589883 | Bronwen Elizabeth Williams | Psychologist | 16220 S Frederick Ave Ste 512, Gaithersburg, MD 20877-4022 | 2007-01-02 |
| 1528154358 | Dorothy A Tracey Rusin | Psychologist | 9077 Shady Grove Court, Gaithersburg, MD 20877 | 2006-10-05 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
Please comment or provide details below to improve the information on DR. ERIC WARD BRAVO.
| 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.