Organization Active NPI

Carpio-Bracho & Gutierrez, a Medical Corporation

Doing business as Pride Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Fresno, CA
National Provider Identifier
1720759871
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
CARPIO-BRACHO & GUTIERREZ, A MEDICAL CORPORATION
Doing business as
Pride Sports Medicine
PSM
Practice address
3636 N 1St St Ste 160
Fresno, CA 93726-6869
Phone
(559) 944-9298
NPI assigned
Sep 27, 2021
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Gabriel Carpio-Bracho, MDNPI 1700226669
Title
President
Phone
(559) 944-9298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

3636 N 1St St Ste 160
Fresno, CA 93726-6869

Mailing address

3636 N 1St St Ste 160
Fresno, CA 93726-6869
Phone (559) 944-9298

Other practice location 1

6041 S Elm Ave Rm D31
Fresno, CA 93706-6018
Phone (559) 944-9298

Other names 2

  • PRIDE SPORTS MEDICINE Doing business as
  • PSM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124000882 CA Part B Supplier - Clinic/Group Practice 3678944915 Receives reassigned benefits from 2 practitioners
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2323836Pride Sports Medicine3636 N First St, Ste 160, Fresno, CA 93726Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

6041 S Elm Ave
Rm D31
Fresno, CA 93706
Phone (559) 944-9298

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1720759871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 160",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "559-944-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 160",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "559-944-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6041 S Elm Ave Rm D31",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937066018",
            "country_code": "US",
            "telephone_number": "559-944-9298",
            "fax_number": "559-943-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARPIO-BRACHO & GUTIERREZ, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "CARPIO-BRACHO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-944-9298",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIDE SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PSM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.