NPI 1326469735

Bravo Health Pennsylvania, INC.

Organisation Health Maintenance Organization Philadelphia, PA

Practice location

Address: 1500 Spring Garden St, Philadelphia, PA 19130-4067
Phone: (832) 553-3375

Authorised official

Name: Marlena Powell Pickering
Title: Corporate Counsel
Phone: (571) 401-5886

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 11524 (PA)

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Registry record

NPI: 1326469735
Entity type: Organization
NPI issued: 2 Jan 2014
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.