DR. PACO EDUARDO BRAVO (NPI# 1215140900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215140900 |
| Entity Type | Individual |
| Full Name | DR. PACO EDUARDO BRAVO |
| Credential | MD |
| Practice Address |
3400 Spruce St Philadelphia PA 19104-4238 |
| Practice Telephone | 2156623000 |
| Mailing Telephone | 2156623000 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD462995 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 580231800 | 05 | |
| WA | UWPIN | 502539 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Nw 16th St Ste C1006d, Miami, FL 331251624 | 3055757000 |
| Street Address |
3400 SPRUCE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415966 | Samuel Isaiah Parry | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2005-05-24 |
| 1831790609 | Renate Marie Balitzky | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-11-06 |
| 1053911156 | Jordan Charles Templeton | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4274 | 2020-10-28 |
| 1992305304 | Alyssa N Volpe | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1700486115 | Christina Haddow | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1629677497 | Marissa Leigh Berlant | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-22 |
| 1811595523 | Kristen Gilgen | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-14 |
| 1962014654 | Stacey Pham | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-08-23 |
| 1265040109 | Abdullah T Almuqate | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-07-16 |
| 1952928541 | Stefen Andrianus | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659384774 | Chan H Park | Nuclear Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-08-14 |
| 1053343368 | Neil Levin | Nuclear Medicine | 51 N 39th St, 4 Phl, Philadelphia, PA 19104-2640 | 2006-07-07 |
| 1659303964 | David S Schwartz | Nuclear Medicine | 51 North 39th Street, 4 Phi, Philadelphia, PA 19104-2640 | 2006-07-07 |
| 1073545414 | Harvey L Waxman | Nuclear Medicine | 51 N 39th St, 4 Phi, Philadelphia, PA 19104-2640 | 2006-07-07 |
| 1962434282 | Edward Solow | Nuclear Medicine | 39th & Market St, 4 Phi, Philadelphia, PA 19104 | 2006-07-07 |
| 1750313078 | Ross R Zimmer | Nuclear Medicine | 39th and Market St, 4 Phi, Philadelphia, PA 19104 | 2006-07-07 |
| 1952331944 | Arthur P Topoulos | Nuclear Medicine | 51 North 39th Street, 4 Phi, Philadelphia, PA 19104-2640 | 2006-07-04 |
| 1760412753 | William J Untereker | Nuclear Medicine | 51 North 39th Street, 4 Phi, Philadelphia, PA 19104-2640 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790899714 | Mon-valley Ekg Associates | Nuclear Medicine | Country Club Rd, Monongahela Valley Hospital, Monongahela, PA 15063 | 2006-08-18 |
| 1245287135 | Osteopathic Cardiology Associates | Nuclear Medicine | 4002 Schaper Ave Ste A, Erie, PA 16508 | 2006-05-27 |
| 1427369404 | Coatesville Cardiology Clinic LLC | Nuclear Medicine | 3025 C G Zinn Rd, Thorndale, PA 19372-1131 | 2010-06-24 |
| 1437483369 | Med Health Service | Nuclear Medicine | 2490 Mosside Blvd, Monroeville, PA 15146 | 2009-09-24 |
| 1245462043 | Osteopathic Cardiology Associates, LLC | Nuclear Medicine | 4002 Schaper Avenue, Suite A, Erie, PA 16508 | 2009-08-13 |
| 1154462307 | Clarion Pathology Associates, P.C. | Nuclear Medicine | 1 Hospital Dr, Clarion, PA 16214 | 2007-02-09 |
| 1750421301 | Med Health Services Management, Lp | Nuclear Medicine | 200 James Pl, Monroeville, PA 15146-3445 | 2007-02-06 |
| 1790824829 | James L. Puckett | Nuclear Medicine | 1 Hospital Dr, Clarion, PA 16214 | 2007-02-05 |
| 1962434076 | Susquehanna Physician Services | Nuclear Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-07-07 |
| 1790750719 | The Milton S Hershey Medical Center Physicians Group | Nuclear Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2006-02-22 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. PACO EDUARDO BRAVO.
| 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.