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Contact Information

ALBERT A. BRAVO D.P.M.
800 NORTH ST
PITTSFIELD, MA01201-4110
 Phone: 413-448-3668
 Fax: 413-442-4716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALBERT A. BRAVO D.P.M.

NPI # 1073645024
LBN Legal business name ALBERT A. BRAVO D.P.M.
Authorized official ALBERT BRAVO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 08/07/2024 - More than a year ago
Identifiers
MA License # 2043
MA Medicaid 0307629
MA Other Y77270 BCBS GROUP PROVIDER #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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