STEPHEN M. BRAVO (MD) – Diagnostic Radiology Physician, NPI 1225011281
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 DIAGNOSTIC RADIOLOGY in ME
Provider Addresses for STEPHEN M. BRAVO (MD)
46 Fairview Ave
Skowhegan, ME 049761481
Phone: (207) 858-2384
Fax: (207) 474-9256
Type: Location
Turkey Lake Road, Florida Center, Orlando, Orange County, Florida, 32819, United States
ORLANDO, FL 328197319
Phone: (407) 363-2772
Fax: (407) 745-2844
Type: Location
PO BOX 690909
ORLANDO, FL 328690909
Phone: (407) 363-2772
Fax: (407) 745-2844
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040320000632 | I | Diagnostic Radiology | NY | TBD |
| I20040614001089 | I | Diagnostic Radiology | FL | TBD |
| I20210129000374 | I | Diagnostic Radiology | ME | 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 04976)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 24 | 23 |
| DIAGNOSTIC RADIOLOGY | FL | 73110 | X-ray of wrist, minimum of 3 views | 31 | 20 |
| DIAGNOSTIC RADIOLOGY | FL | 73562 | X-ray of knee, 3 views | 1245 | 712 |
| DIAGNOSTIC RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 44 | 33 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | DC | |
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Orthopedic Surgery | MA | |
| - | ME | |
| H O S P I T A L I S T | ME | |
| Family Practice | ME | |
| Internal Medicine | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| Emergency Medicine | ME |
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