PETE C JR. BRAVO (FNP) – Nurse Practitioner, NPI 1073079216

PETE C JR. BRAVO (FNP) is a healthcare provider. based in Downers grove, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP140592 (TX). The NPI Number for PETE C JR. BRAVO (FNP) is 1073079216

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
PETE C JR. BRAVO (FNP)
NPI
1073079216
Phone
(630) 725-2700
Address
2001 BUTTERFIELD RD
Enumeration Date
12 February 2019
Last Update Date
13 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2147068200
Graduation Year
2018 (8 years ago)
PAC ID
2769723782
Group Practice PAC ID
6800078759
Professional Enrollment ID
I20190401000918
Address ID
TX752303331DA7930XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for PETE C JR. BRAVO (FNP)

  • 2001, Butterfield Road, Downers Grove, DuPage County, Illinois, 60148:60515, United States

    STE 300

    DOWNERS GROVE, IL 605151069

    Phone: (630) 725-2700

    Type: Mailing

  • 140, East Southlake Boulevard, Park Village, Southlake, Tarrant County, Texas, 76092, United States

    SOUTHLAKE, TX 760928017

    Phone: (817) 686-8104

    Type: Location

  • 2201 N Central Expy Ste 125

    Richardson, TX 750802701

    Phone: (214) 377-1790

    Fax: (720) 598-0440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: ABBVIE INC. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$39
View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190401000918INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60515)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800078759View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationTX
Nurse PractitionerMA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify PETE C JR. BRAVO (FNP) for billing?
Administrative and clinical systems typically use NPI 1073079216 for PETE C JR. BRAVO (FNP).
Is PETE C JR. BRAVO (FNP)'s NPI status active today?
Active status means PETE C JR. BRAVO (FNP)'s NPI record is not deactivated in the public file.
What services align with PETE C JR. BRAVO (FNP)'s listing?
PETE C JR. BRAVO (FNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to PETE C JR. BRAVO (FNP)?
PETE C JR. BRAVO (FNP) shows a connection to Downers Grove, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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