NICOLE RENEE BRAGG MD
NPI 1104322668
Surgery - Surgical Critical Care in San Antonio, TX

Q: What is Nicole Bragg's NPI number?

The NPI number for Nicole Bragg is 1104322668. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Q: What is Nicole Bragg's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Bragg was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 743-4130(210) 358-1972 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Aug 19, 2024, Sep 1, 2023 (3 updates tracked since 2023).

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About Nicole Renee Bragg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE RENEE BRAGG MD (NPI 1104322668) is an individual surgical critical care provider in San Antonio, Texas, licensed in Texas (U1251) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1104322668

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameNICOLE RENEE BRAGGCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 743-4130 · Fax (210) 358-1972

Phone(210) 743-4130

Fax(210) 358-1972

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018

Enumeration DateApril 3, 2018

Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1104322668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in TX · U1251

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License U1251 (TX)

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Renee Bragg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163885823

PECOS Enrollment IDI20230828003373

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)