Bravo, Julio Rafael
Bravo, Julio Rafael is an individual health care provider with primary practice located at 312 Jonestown Rd , Winston Salem NC 27104-4621. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Bravo, Julio Rafael can be contacted via phone (336) 716-7576.Contact Information
Primary practice address
312 Jonestown Rd
Winston Salem NC 27104-4621
Phone: (336) 716-7576
Fax: (336) 702-9342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 22552 | Louisiana |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 92445 | Georgia |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 36657 | North Carolina |
Profile Details
| NPI number | 1598739823 |
|---|---|
| LBN Legal business name | Bravo, Julio Rafael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Feb 29th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598739823 | NPPES |
| Virginia | MEDICAID | 1598739823 | |
| Virginia | Other | 202G701531 | |
| Virginia | MEDICAID | 5907255 | |
| Virginia | MEDICAID | 1987158 | |
| Virginia | Other | P00479037 |
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