DR. KURT RUSSELL BRAVATA M.D.
NPI 1790096170
General Practice in Buffalo, MO

Q: What is Kurt Bravata's NPI number?

The NPI number for Kurt Bravata is 1790096170. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Q: What is Kurt Bravata's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kurt Bravata was last updated on December 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment

201 S ASH ST, BUFFALO, MO 65622(417) 345-6100(417) 345-6866 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kurt Russell Bravata M.d. NPPES

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

DR. KURT RUSSELL BRAVATA M.D. (NPI 1790096170) is an individual general practice provider in Buffalo, Missouri, licensed in Missouri (2013030074) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790096170

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KURT RUSSELL BRAVATACredential: M.D.

Location Address201 S ASH STBuffalo, MO 65622-8674

Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 328-6501 · Fax (417) 328-6338

Phone(417) 345-6100

Fax(417) 345-6866

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 30, 2010

Last NPPES UpdateDecember 29, 2016

✔ NPI 1790096170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MO · 2013030074

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

201 S ASH ST, Buffalo, MO 65622

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Other Identifiers 2

Medicare OSCAR/certification138880091MO

OtherP01259379MO · Palmetto Gba Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kurt Russell Bravata M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547497034

PECOS Enrollment IDI20131206001257

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260195

Location1500 N OaklandBolivar, MO 65613 · Polk County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims58 services$2.50 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$52.48 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$15.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers22 claims22 services$5.66 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers31 claims31 services$37.99 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier12 claims12 services$41.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

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

DR. TAYLOR NICOLE PEDERSEN DO

Family Medicine