BRADLEY BRAGG (MD) – Emergency Medicine Physician, NPI 1093701443

BRADLEY BRAGG (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME89850 (FL). The NPI Number for BRADLEY BRAGG (MD) is 1093701443

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY BRAGG (MD)
NPI
1093701443
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
21 September 2005
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9049532000
Graduation Year
2001 (25 years ago)
PAC ID
4486629680
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20040831001190
Address ID
FL322241865JA4500XSXXX500

Contacts

Secure Messaging
bbragg396155@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for BRADLEY BRAGG (MD)

  • Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040831001190IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making370360$0
99284Emergency department visit with moderate level of medical decision making203202$0
99291Critical care, first 30-74 minutes8787$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
H O S P I T A L I S TFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What number should I use to identify BRADLEY BRAGG (MD) for billing?
Administrative and clinical systems typically use NPI 1093701443 for BRADLEY BRAGG (MD).
Is BRADLEY BRAGG (MD)'s NPI status active today?
Active status means BRADLEY BRAGG (MD)'s NPI record is not deactivated in the public file.
What services align with BRADLEY BRAGG (MD)'s listing?
BRADLEY BRAGG (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BRADLEY BRAGG (MD) in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for BRADLEY BRAGG (MD), then verify phone and hours locally.
Why is information missing for BRADLEY BRAGG (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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