GARY LEWIS BRAVO
NPI 1669536009
Psychiatry & Neurology - Psychiatry in Santa Rosa, CA

Q: What is Gary Bravo's NPI number?

The NPI number for Gary Bravo is 1669536009. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Gary Bravo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Gary Bravo was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 20, 2006PECOS Enrolled

3322 CHANATE RD, SANTA ROSA, CA 95404(707) 565-4997 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary Lewis Bravo NPPES

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

GARY LEWIS BRAVO (NPI 1669536009) is an individual psychiatry provider in Santa Rosa, California, licensed in California (G53626) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669536009

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameGARY LEWIS BRAVO

Location Address3322 CHANATE RDSanta Rosa, CA 95404-1708

Mailing Address3322 Chanate RdSanta Rosa, CA 95404-1708

Phone(707) 565-4997

Sole ProprietorNo

Enumeration DateDecember 20, 2006

Last NPPES UpdateJune 20, 2014

✔ NPI 1669536009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G53626

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3322 CHANATE RD, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Lewis Bravo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHAEL FREDERICK KOZART

Psychiatry & Neurology (Psychiatry)