DR. ILYA BRAGIN M.D. NPI 1740500891

NPI Information

NPI: 1740500891
Provider Name: DR. ILYA BRAGIN, M.D.
Classification: Psychiatry & Neurology - 2084P2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
1417 8TH AVE
BETHLEHEM, PA
ZIP 18018
Phone: (484) 526-5210
Get Directions

DR. Ilya Bragin, M.D. is a pain medicine psychiatry neurology in Bethlehem, PA. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DR. Ilya Bragin, M.D. NPI is 1740500891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1417 8TH AVE
BETHLEHEM, PA
ZIP 18018-256
Phone: (484) 526-5210
Fax: (484) 526-5237

The NPI 1740500891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 4/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD454784	PENNSYLVANIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	274800	NEW YORK	No
3	2084P2900X	Psychiatry & Neurology	Pain Medicine	MD454784	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A400143056	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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