MRS. NANCY BRAVO PA-C
NPI 1104177849
Physician Assistant - Surgical in San Bernardino, CA
About Mrs. Nancy Bravo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NANCY BRAVO PA-C (NPI 1104177849) is an individual surgical provider in San Bernardino, California, licensed in California (PA22527) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Nancy Bravo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nancy Bravo's NPI number?
The NPI number for Nancy Bravo is 1104177849. It was assigned to this individual provider in the NPPES registry on September 20, 2012.
Where is Nancy Bravo located?
Nancy Bravo practices at 250 E Caroline St Suite A, San Bernardino, CA 92408. The listed phone number is (909) 730-2134.
What is Nancy Bravo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Nancy Bravo enrolled in Medicare?
Yes. Nancy Bravo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nancy Bravo was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Nancy Bravo, PA-C · NPI 1104177849
Surgical physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since September 20, 2012.
## Identity
- **NPI:** 1104177849 (Entity type: Individual)
- **Enumerated:** September 20, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA22527 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 E CAROLINE ST, SUITE A, San Bernardino, CA 92408-3747
- **Phone:** (909) 730-2134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104177849) · Data from the CMS NPPES public registry.