Zachary Timothy Scott Bragg

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

275885 Issued in AZ

Practice address

100 E Camelback Rd Ste 108
Phoenix, AZ 85012-1061

Phone

(602) 354-3925

NPI assigned

Sep 23, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Identity Hormones LLC

  • Adult Medicine Physician
  • Phoenix, AZ
  • NPI 1326642372
  NPD

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1962374405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMELBACK RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121061",
            "telephone_number": "602-354-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CAMELBACK RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121061",
            "telephone_number": "602-354-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "ZACHARY",
        "middle_name": "TIMOTHY SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "275885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brady, MD
• Sarah Rachel Brady, MD
• Samuel Benjamin Braff, M.D.
• Bragg Nutrition LLC
• Jennifer Bragg, MS, RD
• Kristina Alexis Braham
• Viorica Braica
• Matthew Braig, D.O.
• Ayemoba Omo Braimah, PHARMD
• Brain Injury Alliance of Arizona

• Primary Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.