Active NPI
Larry E Bragg LLC
- Surgery Physician
- Kearney, NE
National Provider Identifier
1235529173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- LARRY E BRAGG LLC
- Practice address
- 3515 30TH Ave
Kearney, NE 68845-2298 - Phone
- (308) 865-2670
- NPI assigned
- Jan 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry E Bragg
- Title
- Sole Member
- Phone
- (308) 627-5817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
3515 30TH Ave
Kearney, NE 68845-2298
Mailing address
PO Box 2505
Kearney, NE 68848-2505
Phone (308) 865-2230
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426550400000",
"number": "1235529173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2505",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688482505",
"telephone_number": "308-865-2230",
"fax_number": "308-238-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 30TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452298",
"telephone_number": "308-865-2670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY E BRAGG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2015-03-17",
"status": "A",
"authorized_official_last_name": "BRAGG",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "308-627-5817"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.