Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Lewis Bravo

Individual provider Psychiatry Physician · NPI 1669536009

Gary Lewis Bravo is a Psychiatry Physician in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

3322 Chanate Rd
Santa Rosa, CA 95404-1708
Phone: (707) 565-4997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G53626 (CA)

Record details

NPI number1669536009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJune 20, 2014
Mailing address3322 Chanate Rd, Santa Rosa, CA 95404-1708

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