HECTOR BRAVO (NPI# 1255744306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255744306 |
| Entity Type | Individual |
| Full Name | HECTOR BRAVO |
| Practice Address |
6000 Kanakanak Rd. Dillingham AK 99576-0130 |
| Mailing Address |
Po Box 130 Dillingham AK 99576-0130 |
| Practice Telephone | 9078425266 |
| Practice Fax Number | 9078425915 |
| Mailing Telephone | 9078425266 |
| Mailing Fax Number | 9078425915 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194816223 | Hector M Bravo | Audiologist | Maria Cadilla #51, Arecibo, PR 00612 | 2006-09-27 |
| Street Address |
6000 KANAKANAK RD. |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427099043 | Ronald Norbert Talaga | Family Medicine | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2006-06-08 |
| 1215553979 | Bristoal Bay Counseling Center, Bristol Bay Area Corporation | Community/Behavioral Health | 6000 Kanakanak Rd., Bristol Bay Counseling Center, Dillingham, AK 99576 | 2020-06-18 |
| 1629567862 | Lucy P Andrews | Counselor | 6000 Kanakanak Rd., Togiak Clinic, Dillingham, AK 99576-0130 | 2018-05-03 |
| 1114463437 | Madison Ayson | Community Health Worker | 6000 Kanakanak Rd., Dillingham, AK 99576 | 2017-01-10 |
| 1396292751 | Bristol Bay Area Health Corporation | Hearing Aid Equipment | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2016-09-02 |
| 1144607110 | Stephanie Monsen | Community Health Worker | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2015-04-29 |
| 1093113334 | Esther O Udechukwu | Dietitian, Registered | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2014-12-19 |
| 1285067884 | Evelyn Marie Phillips | Pharmacist | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2013-08-19 |
| 1740523992 | Melissa A Paul | Community Health Worker | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2013-04-05 |
| 1982943627 | Monica Lynn Anderson | Community Health Worker | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1467820910 | Alicia Mahlow | Case Manager/Care Coordinator | 540 Gauthier Way, Dillingham, AK 99576 | 2015-09-14 |
| 1306100557 | Peter Tallman | Social Worker | 6000 Kanakanak, Dillingham, AK 99576 | 2012-07-02 |
| 1801079546 | Marrulut Eniit Assisted Living, Inc | Respite Care | 125 D Street, Dillingham, AK 99576 | 2007-12-17 |
| 1730393430 | City of Dillingham | Ambulance | 514 Main Street, Dillingham, AK 99576 | 2007-05-10 |
| 1023132792 | City of Dillingham Senior Center | Non-emergency Medical Transport (VAN) | 515 East 1st Ave, Dillingham, AK 99576 | 2007-03-19 |
| 1912037037 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | Chog Center Main Street, Dillingham, AK 99576 | 2007-03-07 |
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396728614 | Joan Lucienne Junge | Nurse Practitioner | 1500 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| Find all providers in zip 99576 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730677410 | Kristy Ann Peters | Counselor | 1600 Kanakanak Rd, Suite 130, Dillingham, AK 99576-0130 | 2018-04-27 |
| 1275855736 | Spruce Margaret Lynch | Counselor | 6000 Kanakanak Road, Bristol Bay Area Health Corporation, Dillingham, AK 99576 | 2010-02-24 |
| 1437342490 | Tiffany Ann Webb | Counselor | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-08-23 |
| 1154530038 | Nancy Joan Clodfelter | Counselor | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-05-21 |
| 1790993202 | David Askoak | Counselor | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-05-18 |
| 1942418462 | Melina Nelson Shade | Counselor | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-05-18 |
| 1578771093 | Christine Alma Garner | Counselor | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-05-18 |
| 1871701383 | David Ross Nicholson Sr. | Counselor | 6000 Kanakanak Road, Dillingham, AK 99576-0130 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003830 | Lauren Marie Bennett | Counselor | 1170 Marsh Laurel Ave, North Pole, AK 99705-5969 | 2020-11-05 |
| 1285234419 | Amanda Paulette Gannon | Counselor | 201 Deermount St Fl 2, Ketchikan, AK 99901-6649 | 2020-10-27 |
| 1740889351 | Deborah Diane Merritt | Counselor | 362 Tyee St, Soldotna, AK 99669-7631 | 2020-10-23 |
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1588261630 | Maia Stack | Counselor | 222 Tongass Dr Bldg 1206, Sitka, AK 99835-9416 | 2020-10-01 |
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1285251397 | Elmer Eugene Johnson | Counselor | 184 Cityview Ave, Homer, AK 99603-7017 | 2020-07-06 |
| 1710504774 | Magen Marie Spencer | Counselor | 410 River Front Street, Nenana, AK 99760-0159 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | DILLINGHAM |
| Zip Code | 99576 |
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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.