Prime Path Medical Group MD
NPI 1396625612ActiveOrganization· Emergency Medicine· Glendale, CA
Emergency Medicine in Glendale, California, registered in NPPES in September 2025. The authorized official on file is Mason Alexander Bragg, Md, Co-Owner, Predident. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396625612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2025 |
| Last updated in NPPES | Sep 5, 2025 |
| Certified by provider | Sep 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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