Individual provider Active NPI

Jeffrey Bragg II, L.H.I.S.

  • Hearing Instrument Specialist
  • The Village, OK
National Provider Identifier
1023306826
Registry record updated Nov 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1067 Issued in OK
Practice address
2222 W Hefner Rd
Ste K
The Village, OK 73120-7621
Phone
(405) 751-2552
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1067 OK Primary

Addresses

Primary practice location

2222 W Hefner Rd
Ste K
The Village, OK 73120-7621

Mailing address

2222 W Hefner Rd
Ste K
The Village, OK 73120-7621
Phone (405) 751-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1067OKMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bragg Family Hearing Aid Center, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416009600000",
    "number": "1023306826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W HEFNER RD",
            "address_2": "STE K",
            "city": "THE VILLAGE",
            "state": "OK",
            "postal_code": "731207621",
            "telephone_number": "405-751-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W HEFNER RD",
            "address_2": "STE K",
            "city": "THE VILLAGE",
            "state": "OK",
            "postal_code": "731207621",
            "telephone_number": "405-751-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "L.H.I.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2014-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OK",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Village, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.