Breneshia Braggs

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

202142 Issued in LA

Practice address

3100 Kilpatrick Blvd Ste 102
Monroe, LA 71201-5156

Phone

(318) 325-8050

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Locations

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

• Cornerstone Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1699964148
  NPD

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1093317836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 102",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-325-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 102",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-325-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGGS",
        "first_name": "BRENESHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "202142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlecia Bradley
• Mabellen S. Bradley, R.N.
• Velia Bradley, LPC
• Jessica Helmer Brady, PHARMD
• Brandi Rachelle Braggs
• Brain and Spine Associates LLC
• Rebecca Diel Brakefield, COTA
• Mary Branch, R.N.
• Madelyn Bryan Brandl, PMHNP-BC
• Adrianna Brandly

• Registered Nurse in Monroe, LA
• Providers in Monroe, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.