Bravette, Barry Alan
Bravette, Barry Alan is an individual health care provider with primary practice located at 1703 S Broad St Suite 300, Phila PA 19148-1536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bravette, Barry Alan can be contacted via phone (215) 463-5333.Contact Information
Primary practice address
1703 S Broad St Suite 300
Phila PA 19148-1536
Phone: (215) 463-5333
Fax: (215) 463-8085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD037092E | Pennsylvania |
Profile Details
| NPI number | 1962404897 |
|---|---|
| LBN Legal business name | Bravette, Barry Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962404897 | NPPES |
| Pennsylvania | MEDICAID | 0012390380007 |
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