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NPI Verification

National Provider Identifier: 1528223559

Jason Bravo Alisangco, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Family Medicine, Sports Medicine

Code: 207QS0010X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine, Sports Medicine

Code: 207QS0010X

Primary

Practice Address

4500 8TH DIVISION RD

COLUMBIA, SC 292075700

Phone: 803-730-7081

NPI Enumeration Date

July 18, 2008

NPI Number

1528223559

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry