Kristie Leigh Bragg, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

LL31778 Issued in SC

Practice address

4741 Highway 153 Ste a
Easley, SC 29642-9161

Phone

(864) 661-5278

Fax

(864) 408-8369

NPI assigned

Jun 10, 2009

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tiger Pediatrics, Inc

  • Pediatrics Physician
  • Easley, SC
  • NPI 1053917757
  NPD Authorized official

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1164658795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 HIGHWAY 153 STE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429161",
            "telephone_number": "864-661-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 HIGHWAY 153 STE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429161",
            "telephone_number": "864-661-5278",
            "fax_number": "864-408-8369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N A St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296402144",
            "country_code": "US",
            "telephone_number": "864-855-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "KRISTIE",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL31778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317785",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen A Bowie, D.M.D.
• David Michael Boyer, M.D.
• Kamil Latrice Braddock
• Brady Pediatric Therapy LLC
• Taylor Brady, PT
• Alana Branham Todd
• Breath of New Life Counseling, LLC
• Jody Lyn Brewer, MFT
• Jennifer Lynn Britt, FNP
• Alexander James Brook, DPT

• Pediatrics Physician in Easley, SC
• Providers in Easley, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.