Healthcare Provider Details

I. General information

NPI: 1730003823
Provider Name (Legal Business Name): COPPER CANYON FAMILY MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9377 E BELL RD STE 385
SCOTTSDALE AZ
85260-1505
US

IV. Provider business mailing address

9377 E BELL RD STE 379
SCOTTSDALE AZ
85260-1505
US

V. Phone/Fax

Practice location:
  • Phone: 602-905-6770
  • Fax: 602-652-3568
Mailing address:
  • Phone: 602-905-6770
  • Fax: 602-652-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE BRAGG
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 602-905-6770