Richard S Bragg MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME65139 Issued in FL

Legal business name

RICHARD S BRAGG MD PA

Practice address

580 Rinehart Rd
Suite 110
Lake Mary, FL 32746

Phone

(407) 805-8989

Fax

(407) 805-8833

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard S Bragg, MD

Title

President

Phone

(407) 805-8989

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Richard S Bragg MD PA

  • Primary Care Clinic/Center
  • Lake Mary, FL
  • NPI 1194000554
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Lynn Beres, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1497709190
  NPD (past)
• Madge H Geohagen, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1538383427
  NPD (past)
• Diana Jaime, M.D.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1003150103
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1598821597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RINEHART RD",
            "address_2": "SUITE 110",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-805-8989",
            "fax_number": "407-805-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RINEHART RD",
            "address_2": "SUITE 110",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-805-8989",
            "fax_number": "407-805-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S BRAGG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-805-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Reyna-Hernandez
• Susanne Elizabeth Rhoads
• Kemley Marie Rhodes
• Rebekah Rich, RN
• Richard S Bragg MD PA
• Marla Renee Richardson-Price, M.D.
• Erislene Sabino de Sousa Richardson
• Phabrina Richemond, PMHNP
• Sherrine Faye Richmond, ARNP
• Alyssa Riddle

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.