Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANUEL EDUARDO BRAVO, M.D.
DeactivatedDR. MANUEL EDUARDO BRAVO, M.D. is a Pediatrics healthcare provider located in MONTGOMRY VILLAGE, Maryland. NPI 1508861808 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · MONTGOMRY VILLAGE, MD
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508861808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2005 (0.75342465753425 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 17, 2006
- License
-
D09284 (MD)
Practice Information
- Address
-
19201 MONTGOMERY VILLAGE AVESTE A12MONTGOMRY VILLAGE, MD, 208865057Browse MD providers · Browse ZIP 20886
- Phone
- 3016700070
- Fax
- 3019774916
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in MONTGOMRY VILLAGE, MD
| Name | Credential | NPI |
|---|---|---|
| PROTACIO AZARCON REYES | MD | 1376538751 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.