RICHARD S BRAGG MD PA
NPI 1194000554
Clinic/Center - Primary Care in Lake Mary, FL
About Richard S Bragg Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD S BRAGG MD PA (NPI 1194000554) is a healthcare organization registered as a primary care in Lake Mary, Florida and active in the NPI registry since October 2011. The organization lists Richard Bragg, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Richard S Bragg MD PA's NPI number?
The NPI number for Richard S Bragg MD PA is 1194000554. It was assigned to this organization in the NPPES registry on October 18, 2011.
Where is Richard S Bragg MD PA located?
Richard S Bragg MD PA is located at 580 Rinehart Rd Suite 110, Lake Mary, FL 32746. The listed phone number is (407) 805-8989.
What is Richard S Bragg MD PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Richard S Bragg MD PA was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Richard S Bragg Md Pa · NPI 1194000554
Primary Care organization in Lake Mary, Florida. Organization record, active in the CMS NPPES registry since October 18, 2011.
## Identity
- **NPI:** 1194000554 (Entity type: Organization)
- **Enumerated:** October 18, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Richard S Bragg Md Pa)
- **Authorized official:** Richard Bragg, PRESIDENT
## Practice location
- **Address:** 580 RINEHART RD, SUITE 110, Lake Mary, FL 32746-1551
- **Phone:** (407) 805-8989
## Record status
- **NPPES last updated:** October 18, 2011
- **Other identifiers:** Medicare UPIN 27228 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194000554) · Data from the CMS NPPES public registry.