Healthcare Provider Details

I. General information

NPI: 1922505387
Provider Name (Legal Business Name): DANIEL BRAL DO, MPH, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 BISCAYNE BLVD # 1622
MIAMI FL
33137-5013
US

IV. Provider business mailing address

2121 BISCAYNE BLVD # 1622
MIAMI FL
33137-5013
US

V. Phone/Fax

Practice location:
  • Phone: 310-429-8522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberCL0750
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036-173701
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberOS20395
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS20395
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: