BRAVURA FAS
NPI 1740894807
Podiatrist - Foot & Ankle Surgery in Dallas, TX

Active since September 04, 2020
1130 BEACHVIEW ST STE 200, DALLAS, TX 75218(214) 321-9410 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2020, Sep 4, 2020 (2 updates tracked since 2020).

About Bravura Fas NPPES

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

BRAVURA FAS (NPI 1740894807) is a healthcare organization registered as a foot & ankle surgery in Dallas, Texas and active in the NPI registry since September 2020. The organization lists Patrick Wylie Burge, Owner, as its authorized official.

NPPES Registry Identity

NPI1740894807
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBRAVURA FOOT AND ANKLE SPECIALISTS, PLLC
Location Address1130 BEACHVIEW ST STE 200Dallas, TX 75218-3705
Mailing AddressPo Box 180221Dallas, TX 75218-0221 · (214) 321-9410
Organization SubpartNo
Authorized OfficialPatrick Wylie BurgeOwner · (214) 321-9410
Enumeration DateSeptember 4, 2020
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1740894807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1130 BEACHVIEW ST STE 200, Dallas, TX 75218

Other Names 1

Doing Business AsBravura Fas

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bravura Fas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bravura Fas, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1447781281
1130 BEACHVIEW ST STE 200
Dallas, TX 75218
(214) 321-9410
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1053838177
1130 BEACHVIEW ST STE 200
Dallas, TX 75218
(214) 321-9410
✔ PECOS✔ Accepts MedicareSame address

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 Bravura Foot And Ankle Specialists, PLLC's NPI number?

The NPI number for Bravura Foot And Ankle Specialists, PLLC is 1740894807. It was assigned to this organization in the NPPES registry on September 4, 2020. The provider is doing business as Bravura Fas.

Where is Bravura Foot And Ankle Specialists, PLLC located?

Bravura Foot And Ankle Specialists, PLLC is located at 1130 Beachview St Ste 200, Dallas, TX 75218. The listed phone number is (214) 321-9410.

What is Bravura Foot And Ankle Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Bravura Foot And Ankle Specialists, PLLC enrolled in Medicare?

Yes. Bravura Foot And Ankle Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bravura Foot And Ankle Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Bravura Foot And Ankle Specialists, PLLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bravura Foot And Ankle Specialists, PLLC was last updated on October 30, 2020. 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.