Keith Bravo, Md

LBN: Weirton Medical Center Inc
Keith Bravo, Md is an health care organization with primary practice located at 651 Colliers Way Suite 502, Weirton WV 26062-5053. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Weirton Medical Center Inc can be contacted via phone (304) 723-4328, or through Bravo, Keith via phone (304) 723-4328.

Contact Information

Primary practice address
651 Colliers Way Suite 502 Weirton WV 26062-5053
Phone: (304) 723-4328
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bravo, Keith Doctor of Medicine (MD)
Phone: (304) 723-4328

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19983 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19983 West Virginia

Profile Details

NPI number 1396949616
LBN Legal business name Weirton Medical Center Inc
DBA Doing business as Keith Bravo, Md
Authorized official Bravo, Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2007
Last updated Dec 31st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396949616 NPPES
Ohio MEDICAID 2147582
Ohio MEDICAID 9298808
Ohio MEDICAID 6000332000
Ohio MEDICAID 0001352005

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