Prime Path Medical Group Md · Emergency Medicine Physician

1500 S Central Ave Ste 323, Glendale, CA 91204-3858

Overview

Prime Path Medical Group Md is a Emergency Medicine Physician (organization) practicing in Glendale, California. The National Provider Identifier (NPI) is #1396625612, which was assigned on September 5, 2025, and the registration record was last updated on September 5, 2025. The practitioner's main practice location is at 1500 S Central Ave Ste 323, Glendale, CA 91204-3858; the contact telephone number is 7472006948, and the fax number is 7478008005. The primary taxonomy of Prime Path Medical Group Md is Emergency Medicine Physician (207P00000X). The authorized official for Prime Path Medical Group Md is Dr. Mason Alexander Bragg (Md, Co-Owner, Predident).

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Information

NPI 1396625612
Entity Type Organization
Organization Name PRIME PATH MEDICAL GROUP MD
Provider Name PRIME PATH MEDICAL GROUP MD
Practice Address 1500 S Central Ave Ste 323
Glendale
CA 91204-3858
Practice Telephone 7472006948
Practice Fax Number 7478008005
Mailing Address 1500 S Central Ave Ste 323
Glendale
CA 91204-3858
Mailing Telephone 7472006948
Mailing Fax Number 7478008005
Certification Date 2025-09-05
Enumeration Date 2025-09-05
Last Update Date 2025-09-05
Is Organization Subpart N

Authorized Official Information

Official Name DR. MASON ALEXANDER BRAGG
Official Title MD, CO-OWNER, PREDIDENT
Telephone 7478008005

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207P00000XEmergency Medicine193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 207P00000X
Taxonomy Emergency Medicine Physician
Classification Emergency Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

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Location Information

Street Address 1500 S CENTRAL AVE STE 323
City GLENDALE
State CA
Zip Code 91204-3858
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Elizabeth Grigoryan 662 W Broadway Ste C, Glendale, CA 91204-1008Family Medicine Physician2018-09-20
Constant Hospice Care, Inc 600 W Broadway Ste 325, Glendale, CA 91204-1037Community Based Hospice Care Agency2015-03-05
Sahag Agop Arslanian 318 W Colorado Str, #3, Glendale, CA 91204Obstetrics & Gynecology Physician2006-09-19
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Kristin E Halladay 500 W Colorado St Ste C228, Glendale, CA 91204-1161Marriage & Family Therapist2021-06-15
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.