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.
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 |
Official Name | DR. MASON ALEXANDER BRAGG |
Official Title | MD, CO-OWNER, PREDIDENT |
Telephone | 7478008005 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 193400000X SINGLE SPECIALTY GROUP |
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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Street Address |
1500 S CENTRAL AVE STE 323 |
City | GLENDALE |
State | CA |
Zip Code | 91204-3858 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
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Elizabeth Grigoryan | 662 W Broadway Ste C, Glendale, CA 91204-1008 | Family Medicine Physician | 2018-09-20 |
Constant Hospice Care, Inc | 600 W Broadway Ste 325, Glendale, CA 91204-1037 | Community Based Hospice Care Agency | 2015-03-05 |
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All-In Medical Center Inc. | 662 W Broadway Ste C, Glendale, CA 91204-1008 | Family Medicine Physician | 2021-09-02 |
A Touch of Angel Hospice Inc | 664 W Broadway Ste I, Glendale, CA 91204-1097 | Community Based Hospice Care Agency | 2020-12-29 |
White Oak Hospice | 555 W Colorado St # A, Glendale, CA 91204-1101 | Hospice Registered Nurse | 2020-04-14 |
Kristin E Halladay | 500 W Colorado St Ste C228, Glendale, CA 91204-1161 | Marriage & Family Therapist | 2021-06-15 |
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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 |
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. |