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Contact Information

JOSEPH J BRAVO, MD
1 MEDICAL VILLAGE DR
EDGEWOOD, KY41017-3403
 Phone: 859-301-2000
 Fax: 859-301-5690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOSEPH J BRAVO · (Male)

NPI # 1376535807
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 06/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 18650
  • KY Medicaid 64186505
  • OH Medicaid 0356798
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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