National Provider Identifier Database

BRAVO HEALTH ADVANCED CARE CENTER PC
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

BRAVO HEALTH ADVANCED CARE CENTER, P.C.
1601 CHESTNUT ST
PHILADELPHIA, PA19192-4071
Phone: 267-238-5825
Fax: 855-803-5322
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for BRAVO HEALTH ADVANCED CARE CENTER, P.C.

NPI Number 1265674592
Legal business name
LBN
BRAVO HEALTH ADVANCED CARE CENTER, P.C.
Authorized official DIRK WALES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/01/2009
Last updated 12/03/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: MD038974E

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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