Organization
ALBERT A. BRAVO D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT A. BRAVO D.P.M. (OWNER)
(413) 448-3668
Entity
Organization
Contact information
Practice address
800 NORTH ST, PITTSFIELD, MA 01201-4110
(413) 448-3668
(413) 442-4716
Mailing address
800 NORTH ST, PITTSFIELD, MA 01201-4110
(413) 448-3668
(413) 442-4716
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2043
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307629
—
MA
01
—
Y77270
BCBS GROUP PROVIDER #
MA
Enumeration date
03/12/2007
Last updated
08/07/2024
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