James F Bragno, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

05133T Issued in CA

Practice address

1700 McHenry Ave
Suite 77
Modesto, CA 95350-4373

Phone

(209) 524-4626

NPI assigned

Aug 11, 2005

Last updated

Aug 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stanislaus Vision Associates Optometric Group Inc

  • Optometrist
  • Modesto, CA
  • NPI 1457425852
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1588666382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVE",
            "address_2": "SUITE 77",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504373",
            "telephone_number": "209-524-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MCHENRY AVE",
            "address_2": "SUITE 77",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504373",
            "telephone_number": "209-524-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGNO",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "05133T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "942178998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jakior Malcolm Bradley, BCBA
• Skye Bradley
• Tessaphone Bradley
• Brady S. Marshall DMD Inc
• Brittni Rose Brady, ASW
• Amanda Christine Brake
• Leslie Christine Brake
• Stephanie Brambila-Rodriguez
• Dina Brambila
• Gabriela Brambila

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.