Roberto Igor Bracamonte Valencia, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

42622 Issued in AZ

Practice address

301 W Echo LN
Phoenix, AZ 85021-5554

Phone

(602) 350-3046

NPI assigned

Jul 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roberto I Bracamonte MD PCGroup PAC ID 9537330147, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rbracamontevalencia235092@direct.valleywisehealth.org

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

• Roberto I. Bracamonte, M.D., P.C.

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
  • NPI 1780979740
  Medicare reassignment Care Compare group NPD Authorized official
• Gratitude Medical Center PLLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1972335891
  Medicare reassignment NPD
• Wisteria Mental Health & Wellness Center PLLC

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
  • NPI 1194413419
  NPD Authorized official
• Arizona Family Clinics Corp

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1588370134
  NPD (past)
• College Medical Center Phoenix LLC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1841012424
  NPD (past)
• St Lukes Behavioral Hospital LP

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1306870910
  NPD (past)
• St. Luke'S Pediatrics

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1306078514
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1205065299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W ECHO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215554",
            "telephone_number": "602-350-3046",
            "fax_number": "866-845-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W ECHO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215554",
            "telephone_number": "602-350-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACAMONTE VALENCIA",
        "first_name": "ROBERTO",
        "middle_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "42622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline Bozzuto
• Bpalm, Inc.
• BPR Health Inc
• Jonathan Braat
• Wendy Faith Braaten, PT
• Sophia Bracey, FNP-BC
• Cameron Michael Brach, CRNA
• David G Brachman, MD
• Hailey A Brack, CRNA
• John Melvin Bracken, DDS

• Child & Adolescent Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.