NPIMap

Organization Active NPI

AMC Womack-Ft Bragg

Doing business as Bragg Clark HC Phcy

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1518064369
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
AMC WOMACK-FT BRAGG
Doing business as
Bragg Clark HC Phcy
Practice address
7700 Germantown Ave
Philadelphia, PA 19118-3563
Phone
(215) 247-1172
NPI assigned
Sep 20, 2006
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMC WOMACK-FT BRAGGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

7700 Germantown Ave
Philadelphia, PA 19118-3563

Mailing address

7700 Germantown Ave
Philadelphia, PA 19118-3563
Phone (215) 247-1172

Other identifiers 1

IdentifierTypeStateIssuer
MD489737OtherPAMEDICALLICENSE

Other names 1

  • BRAGG CLARK HC PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Womack Army Medical Center28 organizations share this tax ID, including this one
Part of
Womack Army Medical Center

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

Bastogne Dr
Bldg 54257
Fort Bragg, NC 28310

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1518064369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183563",
            "telephone_number": "215-247-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183563",
            "telephone_number": "215-247-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC WOMACK-FT BRAGG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMC WOMACK-FT BRAGG",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICALLICENSE",
            "identifier": "MD489737",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAGG CLARK HC PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.