BRAVO HEALTH CARE CENTER
NPI 1235463654
Family Medicine - Adult Medicine in North Bay Village, FL

Active since October 01, 2009CLIA 10D2040562 · Waiver
1440 79TH STREET CSWY, SUITE #1400, NORTH BAY VILLAGE, FL 33141(305) 763-8573(305) 763-8574 Get Directions Write a Review

NPPES record last updated: June 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bravo Health Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVO HEALTH CARE CENTER (NPI 1235463654) is a healthcare organization registered as an adult medicine in North Bay Village, Florida and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Patricia Bravo, Director, as its authorized official.

NPPES Registry Identity

NPI1235463654
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePATRICIA BRAVO M.D,P.A
Location Address1440 79TH STREET CSWY, SUITE #1400North Bay Village, FL 33141-4188
Mailing Address1440 79th Street Cswy, Suite #1400North Bay Village, FL 33141-4188 · (305) 763-8573 · Fax (305) 763-8574
Fax(305) 763-8574
Organization SubpartNo
Authorized OfficialPatricia BravoDirector · (305) 763-8573
Enumeration DateOctober 1, 2009
Last NPPES UpdateJune 10, 2012
✔ NPI 1235463654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME 91464 (FL)
1440 79TH STREET CSWY, North Bay Village, FL 33141

Other Names 1

Doing Business AsBravo Health Care Center

Other Identifiers 3

Other1235463654FL · Npi
Medicare PINCV991AFL
Medicaid267682600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bravo Health Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20100317000238Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bravo Health Care Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1013938810
1666 79TH STREET CSWY STE 506
North Bay Village, FL 33141
(305) 763-8573
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2040562

Bravo Health Care Center · North Bay Village, FL
Active · expires May 2, 2028
CLIA Number10D2040562
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorPatrica Bravo
Laboratory Phone(305) 763-8573
Laboratory LocationBravo Health Care Center1666 Kennedy St, Causeway Suite 506, North Bay Village, FL 33141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Patricia Bravo M.D,p.A's NPI number?

The NPI number for Patricia Bravo M.D,p.A is 1235463654. It was assigned to this organization in the NPPES registry on October 1, 2009. The provider is doing business as Bravo Health Care Center.

Where is Patricia Bravo M.D,p.A located?

Patricia Bravo M.D,p.A is located at 1440 79th Street Cswy Suite #1400, North Bay Village, FL 33141. The listed phone number is (305) 763-8573.

What is Patricia Bravo M.D,p.A's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Patricia Bravo M.D,p.A enrolled in Medicare?

Yes. Patricia Bravo M.D,p.A is registered in the Medicare PECOS enrollment system.

When is Patricia Bravo M.D,p.A's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Patricia Bravo M.D,p.A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Patricia Bravo M.D,p.A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Patricia Bravo M.D,p.A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2040562) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Patricia Bravo M.D,p.A was last updated on June 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.