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BRAVO HEALTH ADVANCED CARE CENTER, P.C.
NPI 1265674592
Family Medicine - Geriatric Medicine in Philadelphia, PA

Active since April 01, 2009
1601 CHESTNUT ST, PHILADELPHIA, PA 19192(267) 238-5825(855) 803-5322 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2019, Oct 30, 2019, Apr 11, 2018 (3 updates tracked since 2018).

About Bravo Health Advanced Care Center, P.c. NPPES

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

BRAVO HEALTH ADVANCED CARE CENTER, P.C. (NPI 1265674592) is a healthcare organization registered as a geriatric medicine in Philadelphia, Pennsylvania and active in the NPI registry since April 2009. The organization maintains a secondary practice location in Philadelphia and lists Dirk Wales, President, as its authorized official.

NPPES Registry Identity

NPI1265674592
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameBRAVO HEALTH ADVANCED CARE CENTER, P.C.
Location Address1601 CHESTNUT STPhiladelphia, PA 19192-4071
Mailing Address1500 Spring Garden St Ste 800Philadelphia, PA 19130-4071 · (267) 238-5825 · Fax (855) 803-5322
Phone(267) 238-5825
Fax(855) 803-5322
Organization SubpartNo
Authorized OfficialDirk WalesPresident · (615) 236-6100
Enumeration DateApril 1, 2009
Last NPPES UpdateDecember 3, 20193 updates tracked since enumeration
✔ NPI 1265674592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in PA · MD038974E
Definition
A family medicine physician with 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.
1601 CHESTNUT ST, Philadelphia, PA 19192
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 Spring Garden St Ste 800Philadelphia, PA 19130-4071 · Phone (267) 238-5825 · Fax (855) 803-3522

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINA STASIUK D.O.
Internal Medicine
1601 CHESTNUT ST, 2 LIBERTY PLACE TL08F
PHILADELPHIA, PA 19192
Philadelphia County (215) 761-7168
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)
Clinic/Center
1601 CHESTNUT ST, TL04B
PHILADELPHIA, PA 19192
Philadelphia County (215) 761-3939
MS. LAURA HERBENER CRNP, FNP-C
Nurse Practitioner (Family)
1601 CHESTNUT ST
PHILADELPHIA, PA 19192
Philadelphia County (215) 761-3939
SHARDELL ELYN MOORE NP
Nurse Practitioner (Family)
1601 CHESTNUT ST
PHILADELPHIA, PA 19192
Philadelphia County (180) 091-9910

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 Bravo Health Advanced Care Center, P.C.'s NPI number?

The NPI number for Bravo Health Advanced Care Center, P.C. is 1265674592. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Bravo Health Advanced Care Center, P.C. located?

Bravo Health Advanced Care Center, P.C. is located at 1601 Chestnut St, Philadelphia, PA 19192. The listed phone number is (267) 238-5825.

What is Bravo Health Advanced Care Center, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Bravo Health Advanced Care Center, P.C. was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.