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Marisa Lee Bravo

Internal Medicine β€’ Cleveland, OK

Active NPI 1760001093 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1400 W Pawnee St
Cleveland, OK 740203020

Call 9183583588 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1400 W Pawnee St

Cleveland, OK 740203020

Telephone 9183583588
Organization at the Same NPPES Address or Phone
Cleveland Area Hospital Authority Facility NPI 1174774855

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Cleveland Area Hospital Authority. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2023

Industry payments (Open Payments)

Fewer than 11 payment records totaling $15.87 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Marisa Bravo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Marisa Bravo as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cleveland and Oklahoma

1 active clinicians are listed under Internal Medicine with a practice address in Cleveland, OK (1,118 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $15.87.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
β€” General $15.87

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-31
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES OK 41659

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20260723003702

Enrollment State Jurisdiction

OK

PECOS Control ID

4385109941

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Cleveland Area Hospital Authority

1400 W Pawnee St, Cleveland, OK 740203020

Cleveland Area Hospital Authority

1401 W Pawnee St, Cleveland, OK 740203020

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Karley Koch , DO

Family Medicine

NPI 1932690732

Doctor of Osteopathic Medicine (D.O.)

NPI 1114311354

Doctor of Osteopathic Medicine (D.O.)

Charles Oleary , PA-C

Physician Assistant - Medical

NPI 1710177738

Physician Assistant (Certified)

NPI 1306885934

Doctor of Osteopathic Medicine (D.O.)

Shawna Shipman , ARNP

Nurse Practitioner - Family

NPI 1639444532

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 31, 2026

Registered at 1400 W PAWNEE ST, CLEVELAND, OK 740203020 (Tel: 9183583588)

πŸ“
Updated Business Mailing Address August 31, 2026

Registered at 1400 W PAWNEE ST, CLEVELAND, OK 740203020

πŸ“
Updated Business Mailing Address October 06, 2025

Registered at 4444 E 41ST ST, TULSA, OK 741352527

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2025

Internal Medicine (license number reported to NPPES: OK 41659)

βœ…
NPI Profile Active April 16, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 16, 2020

Registered at 4444 E 41ST ST, TULSA, OK 741352527 (Tel: 9186194400)

πŸ“
Business Mailing Address (Initial Record) April 16, 2020

Registered at 512 RANSTEN ST, TAHLEQUAH, OK 744644185

πŸ‘€
Provider Name / Credentials (Initial Record) April 16, 2020

Recorded as MARISA BRAVO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 16, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760001093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2020
Last Update: August 31, 2026
Sole Proprietor: No

Mailing Address

1400 W Pawnee St

Cleveland, OK 740203020

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.