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JOSEPH JAVIER BRAVO MD
NPI 1376535807
Surgery - Vascular Surgery in Edgewood, KY

Active since August 19, 2005
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-2000(859) 301-5690 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph Javier Bravo Md NPPES

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

JOSEPH JAVIER BRAVO MD (NPI 1376535807) is an individual vascular surgery provider in Edgewood, Kentucky, licensed in Kentucky (18650) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1376535807
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJOSEPH JAVIER BRAVOCredential: MD
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 334-5555 · Fax (859) 334-5552
Phone(859) 301-2000
Fax(859) 301-5690
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateJune 30, 2010
✔ NPI 1376535807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in KY · 18650
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSpecialistTaxonomy 174400000X · License 18650 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Other Identifiers 7

Medicare UPIND62903KY
Medicare PIN020035721KY
Medicaid0356798OH
Medicare PIN3313140KY
Medicaid64186505KY
Medicare PIN0655050KY
Medicare PIN3400132KY

Other Providers at the Same Location NPPES 20

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

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
DR. KELLY ANN MACKESSY DO
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074

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 Joseph Bravo's NPI number?

The NPI number for Joseph Bravo is 1376535807. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Joseph Bravo located?

Joseph Bravo practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-2000.

What is Joseph Bravo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Joseph Bravo was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.