IndividualActive
Jack Bravo, CADC-R
NPI 1063399574 · Counselor · Medford, OR
Jack Bravo, CADC-R is a Counselor provider in Medford, OR (NPI 1063399574).
Provider details
- NPI number
- 1063399574
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- CADC-R
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W Main St
Medford, OR 97501-2756
Phone: (541) 772-1777
Fax: (541) 734-2410
Street-level locationGet directions
Mailing address
971 Peachwood Ct
Medford, OR 97501-8108
Registry dates
- Enumerated
- 2025-08-18
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Jack Bravo's NPI number?
- Jack Bravo's National Provider Identifier (NPI) is 1063399574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bravo's specialty?
- Jack Bravo is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Bravo located?
- Jack Bravo's practice location on file with NPPES is 300 W Main St, Medford, OR 97501-2756.
- What is Jack Bravo's phone number?
- The practice phone number listed in the NPPES registry for Jack Bravo is (541) 772-1777.
- Is Jack Bravo's NPI active?
- Yes — Jack Bravo's NPI (1063399574) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.