Individual provider Active NPI

Julie Bragg, CFOM., CPED

  • Orthotic Fitter
  • Raleigh, NC
National Provider Identifier
1093863862
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Practice address
3824 Barrett Dr Ste 102
Raleigh, NC 27609-7220
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X
Pedorthist 224L00000X
Orthotic Fitter 225000000X Primary

Addresses

Primary practice location

3824 Barrett Dr Ste 102
Raleigh, NC 27609-7220

Mailing address

3824 Barrett Dr Ste 102
Raleigh, NC 27609-7220
Phone (919) 441-0023

Other practice location 1

536 W Gannon Ave
Zebulon, NC 27597-2510

Other identifiers 4

IdentifierTypeStateIssuer
046KYOtherNCBCBS
7703875MedicaidNC
7795286MedicaidNC
7795259MedicaidNC

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

Practice roles

OrganizationSpecialtyStatusNew patients
Limbionics of Raleigh, Inc CurrentSince Apr 3, 2022 Accepting new patients
Limbionics of Goldsboro, Inc. PastSince Nov 10, 2019 Accepting new patients
North Carolina Orthotics & Prosthetics Past Accepting new patients

Locations

3824 Barrett Dr
Ste 102
Raleigh, NC 27609
Phone (919) 441-0023

3701 Wake Forest Rd
#120
Raleigh, NC 27609
Phone (919) 330-4058

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1093863862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "919-441-0023",
            "fax_number": "919-594-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 W Gannon Ave",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275972510",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JULIE",
        "credential": "CFOM., CPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "046KY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703875",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795286",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.