Diana Bisson Bragoli, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP012016 Issued in PA

Practice address

1288 Valley Forge Rd
Suite 65
Phoenixville, PA 19460-2687

Phone

(610) 935-0225

Fax

(610) 935-0225

NPI assigned

May 22, 2012

Last updated

May 2, 2019By 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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Plastic Surgery Specialists PC

  • Plastic and Reconstructive Surgery Physician
  • Phoenixville, PA
  • NPI 1164521241
  Medicare reassignment NPD

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1235499344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE RD",
            "address_2": "STE 65",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602687",
            "telephone_number": "610-935-5600",
            "fax_number": "610-935-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE RD",
            "address_2": "SUITE 65",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602687",
            "telephone_number": "610-935-0225",
            "fax_number": "610-935-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGOLI",
        "first_name": "DIANA",
        "middle_name": "BISSON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Borla
• Elizabeth A. Bouvel, M.S.,N.C.C.,L.P.C.
• Matthew Bowler
• Elizabeth D Boylan, BCBA
• Laura Brackett, M.D.
• Laura D Brake, PA-C
• April Brauch
• Jason Brennan
• Hugh Brenner, FPNP, CRNP
• Lisa Brenner, CRNP

• Adult Health Nurse Practitioner in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.