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

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: October 18, 2026.

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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Ilya Bragin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
Same address
Neurology
1417 8TH AVE
Bethlehem, PA 18018
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1588755425 (484) 526-5210
St. Luke's Warren Physician Group, PC
12 mi
Colon & Rectal Surgery
123 ROSEBERRY ST
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 528 clinicians in this Medicare group
NPI 1043635733 (610) 866-2600
Gslpg, Inc
37 mi
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group
NPI 1366006702 (272) 639-1000
Upmc Altoona Regional Health Services, Inc
158 mi
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1396724217 (814) 946-1655
The Queens Medical Center
4,891 mi
Urgent Care
377 KEAHOLE ST STE E108E109
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1528691383 (808) 735-0007
Queens University Medical Group
4,897 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-4781
MOLLY ELIZABETH PANTONE MS, OTR/L
Occupational Therapist
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-4781
ANNMARIE MATEO CRNP
Nurse Practitioner
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-5210
LYNDA ABI-DAHER
Nurse Practitioner
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-5210
DR. JONATHAN P. HOSEY M.D.
Psychiatry & Neurology (Neurology)
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-5210
ASHLEY DE PADUA M.D.
Physical Medicine & Rehabilitation
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-5210
BRIAN HANRAHAN M.D.
Psychiatry & Neurology (Neurology)
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-5210
CARLEY MARIE HAVARD DPT
Physical Therapist
1417 8TH AVE
BETHLEHEM, PA 18018
Northampton County (484) 526-4781

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 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.

Where is Ilya Bragin located?

Ilya Bragin practices at 1417 8th Ave, Bethlehem, PA 18018. The listed phone number is (484) 526-5210.

What is Ilya Bragin's specialty?

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

Is Ilya Bragin enrolled in Medicare?

Yes. Ilya Bragin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ilya Bragin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilya Bragin reassigns Medicare benefits to 6 organizations: St. Luke's Physician Group, Inc. (Bethlehem, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ), Gslpg, Inc (Orwigsburg, PA), Upmc Altoona Regional Health Services, Inc (Altoona, PA), The Queens Medical Center (Honolulu, HI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ilya Bragin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.