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● Active Type 2 · Organization

Bravo Iom Llc

Electrodiagnostic Medicine·Ft Worth, TX· NPI 1003372285 · Enumerated 2019 · 7 years on NPI
Bravo Iom Llc is 1 of 233 electrodiagnostic medicine organizations in Texas.
NPI age
7 years
Enumerated 2019-02-13
Primary specialty
Electrodiagnostic Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sulllivan
Billing Manager
Last NPPES update
2019-02-13
Source: CMS NPPES provider record

How this organization compares

Across 233 active electrodiagnostic medicine providers in Texas.

NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2019

2019-02Enumerated in NPPES
2019 2019

Where they practice

Primary practice location
111 Boland St Ste 211
Ft Worth, TX 761071265
📞 8175298488fax 9033286568
Mailing address
111 Boland St Ste 211
Ft Worth, TX 761071265
📞 8175298488

Authorized official

Gina Sulllivan
Billing Manager
📞 8175288488

Other providers sharing this address

20 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.

Specialties

  • Electrodiagnostic Medicine Primary
    Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians...
    taxonomy 204R00000X

Practice context

Shared NPPES address. 20 individual providers use this primary address. This does not prove employment or affiliation.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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