BARRY ALAN BRAVETTE (NPI# 1962404897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962404897 |
| Entity Type | Individual |
| Full Name | BARRY ALAN BRAVETTE |
| Credential | MD |
| Practice Address |
1703 S Broad St Suite 300 Phila PA 19148-1536 |
| Mailing Address |
207 N Broad St 3rd Flr., Attn Kim Edwards Phila PA 19107-1500 |
| Practice Telephone | 2154635333 |
| Practice Fax Number | 2154638085 |
| Mailing Telephone | 2154627100 |
| Mailing Fax Number | 2154633820 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD037092E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012390380007 | 05 |
| Street Address |
1703 S BROAD ST SUITE 300 |
| City | PHILA |
| State | PA |
| Zip Code | 19148-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689717860 | John Avery Salvia | Physician Assistant | 1703 S Broad St, Ste 300, Phila, PA 19148-1536 | 2007-02-15 |
| 1548353600 | Eileen Bowie | Physician Assistant | 1703 S Broad St, Ste. 300, Phila, PA 19148-1536 | 2006-10-02 |
| 1942393723 | Bonita Handerhan | Registered Nurse | 1703 S Broad St, Ste.300, Phila, PA 19148-1536 | 2006-10-02 |
| 1619947553 | Veronica A Covalesky | Internal Medicine | 1703 S Broad St, Suite 300, Phila, PA 19148 | 2006-01-24 |
| 1922000868 | Salvatore P Girardo | Internal Medicine | 1703 S Broad St, Suite 300, Phila, PA 19148-1536 | 2005-08-11 |
| 1215939178 | William Beckwith | Internal Medicine | 1703 S Broad St, Ste 300, Phila, PA 19148-1536 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1063481398 | Howard Marc Rosner | Internal Medicine | 1809-13 Oregon Ave, 2nd Flr, Phila, PA 19145 | 2006-03-17 |
| 1841452679 | Temple Physicians Inc | Internal Medicine | 1741 Frankford Ave, Suite 100-g, Phila, PA 19125-2445 | 2008-07-02 |
| 1407018237 | Temple Physicians Inc | Internal Medicine | 1741 Frankford Ave, Suite 100-e, Phila, PA 19125-2445 | 2008-07-02 |
| 1790947521 | Temple Physicians Inc | Internal Medicine | 1741 Frankford Ave, Suite 100-d, Phila, PA 19125-2445 | 2008-07-02 |
| 1114064417 | Dean V Papoutsis | Internal Medicine | 2701 Holme Ave, Suite 105, Phila, PA 19152-2029 | 2007-01-30 |
| 1205900420 | Northeast Cardiology Consultants, Inc. | Internal Medicine | 2701 Holme Ave, Suite 105, Phila, PA 19152-2029 | 2006-11-20 |
| 1679599005 | Tandeep K Bhatti | Internal Medicine | 5401 Old York Rd, Klein 404, Phila, PA 19141-3030 | 2006-07-15 |
| 1245262542 | David Lin | Internal Medicine | 3400 Civic Center Blvd Fl 2, Phila, PA 19104-5127 | 2006-07-07 |
| 1619947553 | Veronica A Covalesky | Internal Medicine | 1703 S Broad St, Suite 300, Phila, PA 19148 | 2006-01-24 |
| 1396715249 | Daniel Dadourian | Internal Medicine | 230 N Broad St, 7th Flr., Ms 108, Phila, PA 19102-1121 | 2006-01-24 |
| Find all providers in PHILA | ||||
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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.