DR. ENRICO BRAVO (NPI# 1639497365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639497365 |
| Entity Type | Individual |
| Full Name | DR. ENRICO BRAVO |
| Credential | M.D. |
| Practice Address |
211 Church St Saratoga Springs NY 12866-1090 |
| Mailing Address |
47 New Scotland Ave Department of Internal Medicine Albany NY 12208-3412 |
| Practice Telephone | 5182625377 |
| Mailing Telephone | 5182625377 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 271901 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
211 CHURCH ST |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225442 | James Edward Corwin | Family Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2005-06-15 |
| 1619587987 | Mark F Costello IIi | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1090 | 2020-08-03 |
| 1578115432 | Elizabeth Bogovich | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1090 | 2019-07-11 |
| 1811463102 | Jacquelyn Y White | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1090 | 2018-10-15 |
| 1790264000 | Colleen Elizabeth Tillson | Nurse Practitioner | 211 Church St, Saratoga Springs, NY 12866-1090 | 2018-08-08 |
| 1649756669 | Elizabeth Johnstone | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-07-12 |
| 1942718275 | Saratoga Hospital | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2018-01-22 |
| 1427561224 | Saara Johanson | Anesthesiology | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-11-15 |
| 1598277162 | Joanna Amelia Robben | Physician Assistant | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-11-03 |
| 1285159798 | Brian P. Mcdermott, D.o., P.C. | Internal Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395607 | Hung Dinh Nguyen | Internal Medicine | 19 West Ave Ste 201, Saratoga Hospital Pulmonology and Sleep Medicine, Saratoga Springs, NY 12866-6049 | 2006-08-20 |
| 1083608426 | Rachid Daoui | Internal Medicine | 6 Care Lane, Saratoga Springs, NY 12866-8624 | 2005-08-31 |
| 1679565808 | Robert S. Wang | Internal Medicine | 6 Care Ln, Saratoga Springs, NY 12866-8624 | 2005-08-15 |
| 1538435912 | Sergio Martin Lema Gutierrez | Internal Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2012-03-29 |
| 1497039820 | Community Care Physicians, PC | Internal Medicine | 1 West Ave, Suite 330, Saratoga Springs, NY 12866-6045 | 2011-10-04 |
| 1699098806 | Timothy Patrick Reed | Internal Medicine | 211 Church St, Saratoga Springs, NY 12866 | 2010-03-03 |
| 1134383904 | Ayesha Muriam Sooriabalan | Internal Medicine | 211 Church Street, Saratoga Springs, NY 12866 | 2008-07-10 |
| 1417110651 | Richard K Kim | Internal Medicine | 3 Care Ln, Saratoga Springs, NY 12866-8639 | 2008-07-08 |
| 1568658250 | William J. Malone | Internal Medicine | 3050 Route 50 North, Saratoga Springs, NY 12866-2958 | 2007-09-17 |
| 1538353008 | Nicoleta Daraban | Internal Medicine | 211 Church St, Saratoga Springs, NY 12866-1003 | 2007-08-28 |
| Find all providers in SARATOGA SPRINGS | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
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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.