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MR. GUADALUPE BRAVO CP
NPI 1619128030
Specialist - Prosthetics Case Management in Detroit, MI

Active since October 03, 2008
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000(313) 576-1865 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Guadalupe Bravo Cp NPPES

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

MR. GUADALUPE BRAVO CP (NPI 1619128030) is an individual prosthetics case management provider in Detroit, Michigan and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1619128030
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameMR. GUADALUPE BRAVOCredential: CP
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000 · Fax (313) 576-1865
Phone(313) 576-1000
Fax(313) 576-1865
Sole ProprietorNo
Enumeration DateOctober 3, 2008
Last NPPES UpdateMay 1, 2013
✔ NPI 1619128030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
4646 JOHN R ST, Detroit, MI 48201
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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.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

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 Guadalupe Bravo's NPI number?

The NPI number for Guadalupe Bravo is 1619128030. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Guadalupe Bravo located?

Guadalupe Bravo practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Guadalupe Bravo's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Guadalupe Bravo was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.