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BRAVO GERIATRICS
NPI 1528358322
Internal Medicine - Geriatric Medicine in Tucson, AZ

Active since April 13, 2011
4716 E BURNS ST, TUCSON, AZ 85711(520) 990-3222(520) 867-6409 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bravo Geriatrics NPPES

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

BRAVO GERIATRICS (NPI 1528358322) is a healthcare organization registered as a geriatric medicine in Tucson, Arizona and active in the NPI registry since April 2011. The organization lists Stephanie Bravo, President, as its authorized official.

NPPES Registry Identity

NPI1528358322
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameBRAVO GERIATRICS
Location Address4716 E BURNS STTucson, AZ 85711-3015
Mailing AddressPo Box 12674Tucson, AZ 85732-2674 · (520) 990-3222 · Fax (520) 867-6409
Phone(520) 990-3222
Fax(520) 867-6409
Organization SubpartNo
Authorized OfficialStephanie BravoPresident · (520) 990-3222
Enumeration DateApril 13, 2011
Last NPPES UpdateNovember 3, 2011
✔ NPI 1528358322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in AZ · 43580
Definition
An internist who has 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.
4716 E BURNS ST, Tucson, AZ 85711
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Other Identifiers 1

OtherZ145166AZ · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Geriatrics 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
StateArizonaEnrollment IDO20110602000607Non-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 Geriatrics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Bravo, MD
Geriatric Medicine
NPI 1194917716
4716 E BURNS ST
Tucson, AZ 85711
(520) 990-3222
✔ PECOS✔ Accepts Medicare0.9 mi

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

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 Geriatrics's NPI number?

The NPI number for Bravo Geriatrics is 1528358322. It was assigned to this organization in the NPPES registry on April 13, 2011.

Where is Bravo Geriatrics located?

Bravo Geriatrics is located at 4716 E Burns St, Tucson, AZ 85711. The listed phone number is (520) 990-3222.

What is Bravo Geriatrics's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Bravo Geriatrics enrolled in Medicare?

Yes. Bravo Geriatrics is registered in the Medicare PECOS enrollment system.

When is Bravo Geriatrics'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 (Arizona, 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 Bravo Geriatrics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Bravo Geriatrics. 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.

When was this NPI record last updated?

The NPPES record for Bravo Geriatrics was last updated on November 3, 2011. 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.