Individual provider Active NPI

Stephanie A Bragg, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1083764229
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
78019 Issued in AZ
Practice address
9377 E Bell Rd Ste 385
Scottsdale, AZ 85260-1505
Phone
(602) 905-6770
Fax
(602) 652-3568
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01059199A IN
Family Medicine Physician 207Q00000X 78019 AZ Primary

Addresses

Primary practice location

9377 E Bell Rd Ste 385
Scottsdale, AZ 85260-1505

Mailing address

9377 E Bell Rd Ste 379
Scottsdale, AZ 85260-1505
Phone (602) 905-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001001514 AZ Practitioner - Family Practice 8729584560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10051 E Dynamite Blvd
Suite 110
Scottsdale, AZ 85262-5239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78019AZMDFamily Medicine Physician
01059199AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clove LLC Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Grayhawk Family Practice PC Family Medicine PastSince Sep 14, 2025 Accepting new patients
Copper Canyon Family Medicine, PLLC Family Medicine Past Accepting new patients

Locations

10051 E Dynamite Blvd
Ste 110
Scottsdale, AZ 85262
Phone (480) 473-7003

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1083764229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 379",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "602-905-6770",
            "fax_number": "602-652-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 385",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601505",
            "telephone_number": "602-905-6770",
            "fax_number": "602-652-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059199A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "78019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.