TERESA B BRAVO (M.D.) – Family Medicine Physician, NPI 1093797854
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for TERESA B BRAVO (M.D.)
9703 AVELLINO AVE UNIT 1202
ORLANDO, FL 328198809
Phone: (914) 715-8615
Type: Mailing
904B CYPRESS PKWY
KISSIMMEE, FL 347593456
Phone: (786) 697-3549
Fax: (865) 381-1572
Type: Mailing
Osceola Parkway, Kissimmee, Osceola County, Florida, 34746-5332, United States
KISSIMMEE, FL 347441605
Phone: (407) 744-0459
Fax: (855) 852-1974
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (844) 630-0700
Fax: (877) 374-1924
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Novo Nordisk Inc ($50).
Total Amount
$177
General + Research + Ownership
Payments
9
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200224000875 | I | Family Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL |
Reviews
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