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

Nicolas Bravo III

Individual provider Occupational Therapist · NPI 1598878852

Nicolas Bravo III is an Occupational Therapist in Fort Gordon, Georgia. Licensed in Maryland and Pennsylvania. Registered with an NPI since 2006.

Licensed in
MD, PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

300 Hospital Rd
Fort Gordon, GA 30905-5950
Phone: (706) 787-1049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC014474 (PA)
Occupational Therapist Taxonomy 225X00000X · Licence 05701 (MD)

Record details

NPI number1598878852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address300 Hospital Rd, Fort Gordon, GA 30905-5950

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