Prime Path Medical Group MD
NPI 1396625612 · Emergency Medicine Physician · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Path Medical Group MD is a Emergency Medicine Physician organization in Glendale, CA (NPI 1396625612).
Provider details
- NPI number
- 1396625612
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mason Bragg, MD, Co-Owner, Predident(747) 800-8005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-05
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Prime Path Medical Group MD's NPI number?
- Prime Path Medical Group MD's National Provider Identifier (NPI) is 1396625612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Path Medical Group MD?
- Prime Path Medical Group MD is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Path Medical Group MD located?
- Prime Path Medical Group MD's practice location on file with NPPES is 1500 S Central Ave Ste 323, Glendale, CA 91204-3858.
- What is Prime Path Medical Group MD's phone number?
- The practice phone number listed in the NPPES registry for Prime Path Medical Group MD is (747) 200-6948.
- Does Prime Path Medical Group MD accept Medicare?
- Prime Path Medical Group MD is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Path Medical Group MD?
- The authorized official listed on Prime Path Medical Group MD's NPPES record is Mason Bragg, MD, Co-Owner, Predident. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Path Medical Group MD's NPI active?
- Yes — Prime Path Medical Group MD's NPI (1396625612) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.