Individual
CESAR JOSE' BRAVO
Active
Individual
CESAR JOSE' BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101-238615
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790759645
ANTHEM
VA
05
—
1790759645
—
VA
01
—
371194700
OWCP
VA
01
—
3810006583
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332004
TRICARE/CHAMPUS
VA
01
—
P00242289
RAILROAD MEDICARE
VA
Enumeration date
02/16/2006
Last updated
12/01/2017
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