BERTHA D. BRAVO DDS PC (NPI# 1184896912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184896912 |
| Entity Type | Organization |
| Organization Name | BERTHA D. BRAVO DDS PC |
| Other Organization Name | BERTHA D. BRAVO DENTIST PC |
| Practice Address |
302 Greenwich St Hempstead NY 11550-6318 |
| Practice Telephone | 5164851145 |
| Practice Fax Number | 5164858386 |
| Mailing Telephone | 5164851145 |
| Mailing Fax Number | 5164858386 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | DR. BERTHA D BRAVO (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5164851145 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
044278 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01353584 | 05 |
| Other Name | Type Code |
|---|---|
| Bertha D. Bravo Dentist PC | Other Name - Individual/Organization |
| Street Address |
302 GREENWICH ST |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726021 | Brilliance Dental of Long Island | Dentist | 302 Greenwich St, Hempstead, NY 11550-6318 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609276138 | Hempstead Dental, PC | Dentist | 641 10th St, Suite C, Hempstead, TX 77445-4528 | 2014-09-03 |
| 1235402785 | Nassau Dental PC | Dentist | 91 Clinton St, Hempstead, NY 11550-4211 | 2012-02-14 |
| 1134303084 | Jayashree Bhinda | Dentist | 760 Fulton Ave, Hempstead, NY 11550-4549 | 2007-12-27 |
| 1154529816 | Joseph Gerald Bacigalupo | Dentist | 121 Ingraham Blvd, Hempstead, NY 11550-5835 | 2007-07-04 |
| 1568680148 | Sehej Dental, LLC | Dentist | 400 Fulton Ave Ste E, Hempstead, NY 11550-4148 | 2007-04-22 |
| 1124155353 | Bertha Dina Bravo | Dentist | 302 Greenwich Street, Hempstead, NY 11550 | 2007-02-27 |
| 1487795365 | Pavanjit Singh Chhabra | Dentist | 400 Fulton Ave, Suite E, Hempstead, NY 11550-4147 | 2007-02-12 |
| 1205840774 | Lewis G Milhim | Dentist | 240 Clinton St, Hempstead, NY 11550-2614 | 2006-07-28 |
| 1578580361 | Burt Farbourne Harvey | Dentist | 46 N Franklin St, Hempstead, NY 11550-3811 | 2006-07-16 |
| 1871566711 | Ace Dental Care, P.C. | Dentist | 250 Fulton Ave, Ste. 120, Hempstead, NY 11550-3917 | 2006-02-10 |
| Find all providers in HEMPSTEAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.