Keith Michael Bravo
MD | Pediatrics | Male
Keith Michael Bravo, MD is a Weirton, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Keith Michael Bravo is
651 Colliers Way, Suite 502, Weirton, West Virginia - 26062-5053. He can be contacted on phone at
304-723-4328 and fax number 304-723-5814.
Keith Michael Bravo is a sole proprietor of his business.
NPI number (Unique professional ID) for Keith Michael Bravo is
1841286036 which was assigned by NPPES on 22 Sep, 2005 and it was last updated on 29 Jul, 2008.
Keith Michael Bravo license number is
19983 for Pediatrics (208000000X) in West Virginia.
Keith Michael Bravo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Keith Michael Bravo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Keith Michael Bravo |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Keith Michael Bravo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 651 Colliers Way, Suite 502
Weirton, WV, 26062-5053
United States |
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| Phone Number : | 304-723-4328 |
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| Fax Number : | 304-723-5814 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841286036 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2005 |
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| Last Updated On : | 29 Jul, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith Michael Bravo are as mentioned. Primary taxonomy code for Keith Michael Bravo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 19983 | WV |
| 208000000X | Pediatrics | Yes | 19983 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Keith Michael Bravo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6000332000 | MEDICAID | WV | |
| 2147582 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2581
Weirton, WV, 26062-1781
United States |
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Business Location:
Patients can refer following map for directions to
Keith Michael Bravo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.