DR. ILYA BRAGIN M.D.
NPI 1740500891
Psychiatry & Neurology - Pain Medicine in Bethlehem, PA

Q: What is Ilya Bragin's NPI number?

The NPI number for Ilya Bragin is 1740500891. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Q: What is Ilya Bragin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Q: When was this NPI record last updated?

The NPPES record for Ilya Bragin was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 10, 2010PECOS Enrolled

1417 8TH AVE, BETHLEHEM, PA 18018(484) 526-5210(484) 526-5237 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ilya Bragin M.d. NPPES

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

DR. ILYA BRAGIN M.D. (NPI 1740500891) is an individual pain medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD454784) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740500891

Entity TypeIndividualMale

Primary Taxonomy2084P2900X

Provider Legal NameDR. ILYA BRAGINCredential: M.D.

Location Address1417 8TH AVEBethlehem, PA 18018-2256

Mailing Address1616 Best PlBethlehem, PA 18017-3276 · (484) 526-5210 · Fax (484) 526-5237

Phone(484) 526-5210

Fax(484) 526-5237

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJune 10, 2010

Last NPPES UpdateApril 21, 2017

✔ NPI 1740500891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084P2900X

License✔ Licensed in PA · MD454784

Definition

A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License MD454784 (PA), 274800 (NY)

1417 8TH AVE, Bethlehem, PA 18018

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Other Identifiers 1

Medicare UPINA400143056NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilya Bragin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587976394

PECOS Enrollment IDI20250825001993

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.

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.

MATT HEINEMAN

Physical Therapist