# JOSEPH JAVIER BRAVO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376535807
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 18650 | KY | — |
| 2086S0129X | Vascular Surgery Physician | 18650 | KY | Yes |

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 06/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0356798 | — | OH |
| 05 | — | 64186505 | — | KY |