Marcus Bragg

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5330 College Ave Ste 240
Oakland, CA 94618-2814

Phone

(888) 362-3970

NPI assigned

Feb 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Red House Behavior Resources, Inc.

  • Behavior Analyst
  • San Francisco, CA
  • NPI 1962838409
  NPD (past)

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1063276459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 BUSH ST STE 3039",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043503",
            "telephone_number": "888-362-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 COLLEGE AVE STE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182814",
            "telephone_number": "888-362-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "MARCUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Brady, DO
• Jenna Lynn Brady
• Kathleen Erin Brady, LCSW
• Meridian Artemis Brady, LMFT
• Monique Brady
• Jeeven Brah, M.D.
• Kyle Brahaney, DPT
• Joy Renee Braitberg
• Holly Bramante
• Bryan Bramlett, B.A.

• All providers in Oakland, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.