BARRY BRAVER (D.O.) – General Practice Physician, NPI 1275592412

BARRY BRAVER (D.O.) is a healthcare provider. based in Southfield, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101007774 (MI). The NPI Number for BARRY BRAVER (D.O.) is 1275592412

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
BARRY BRAVER (D.O.)
NPI
1275592412
Phone
(248) 569-1506
Address
16979 JEANETTE ST
Enumeration Date
17 March 2006
Last Update Date
27 May 2011

Doctor Profile

Medical School Name
COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
5193715340
Group Practice PAC ID
4587750047
Professional Enrollment ID
I20071012000675
Address ID
MI482241212De17520STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for BARRY BRAVER (D.O.)

  • 16979, Jeanette Street, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 480751916

    Phone: (248) 569-1506

    Type: Mailing

  • 17520, Chester Street, Cornerstone Village, Detroit, Wayne County, Michigan, 48224, United States

    DETROIT, MI 482241212

    Phone: (313) 884-0900

    Fax: (313) 884-8062

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,304.

Total Amount is formed as General ($1,304) + Research ($0) + Ownership ($0) = $1,304.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($498).

Total Amount

$1,304

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-12

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
I20071012000675IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11937$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4528$0
View full utilization report →

Insurance plans in this area (ZIP 48075)

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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: 4587750047View full group profile
NameSpecialtyState
Family PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for BARRY BRAVER (D.O.)?
BARRY BRAVER (D.O.) — NPI 1275592412 — is the standard way to identify this listing.
Does the file indicate BARRY BRAVER (D.O.) is practicing under active NPI?
Directory data currently reports BARRY BRAVER (D.O.) as active.
What healthcare role does BARRY BRAVER (D.O.) hold?
Scheduling teams often label BARRY BRAVER (D.O.) under General Practice Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BARRY BRAVER (D.O.)?
BARRY BRAVER (D.O.)'s geographic hint is Southfield, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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