Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376535807 Individual Practitioner Male Practitioner

Dr. Joseph Javier Bravo , MD

Surgery - Vascular Surgery • Edgewood, KY

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Bravo, MD is a registered healthcare professional specializing in Surgery - Vascular Surgery in Edgewood, KY. Practice services are available at 1 MEDICAL VILLAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593012000
Fax 8593015690
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Edgewood, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Edgewood, KY (80 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License KY 18650

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Specialist

NUCC Taxonomy Code: 174400000X

State License KY 18650

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0356798 (OH)
Medicaid State Provider ID
64186505 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cara Hansen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003155060

Certified Registered Nurse Anesthetist

Deborah Bliss , ACNP

Nurse Practitioner - Acute Care

NPI 1013059559
Stephanie Stegman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013533405

Certified Registered Nurse Anesthetist

Dr. Elle Kaiser , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013582071

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

NPI 1023768264

Doctor of Osteopathic Medicine (D.O.)

Alexandra Wiesner , APRN

Nurse Practitioner

NPI 1023778123

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2010

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

📍
Updated Business Mailing Address June 30, 2010

Registered at PO BOX 636324, CINCINNATI, OH 452636324 (Tel: 8593345555)

👤
Provider Name / Credentials Updated June 30, 2010

Recorded as JOSEPH BRAVO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2010

Specialist (License #18650 in KY)

🟢
Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376535807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: June 30, 2010
Sole Proprietor: No

Mailing Address

Po Box 636324

Cincinnati, OH 452636324

Phone: 8593345555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.