Individual provider Active NPI

Alan Harris Bragman, DC

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1275673055
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1914 Issued in GA
Practice address
5500 Errol PL NW
Atlanta, GA 30327-4869
Phone
(678) 777-1161
Fax
(404) 255-2029
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1914 GA Primary

Addresses

Primary practice location

5500 Errol PL NW
Atlanta, GA 30327-4869

Mailing address

5500 Errol PL NW
Atlanta, GA 30327-4869
Phone (678) 777-1161

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

State licenses

LicenseStateTypeSpecialty
1914GAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275673055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 ERROL PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274869",
            "telephone_number": "678-777-1161",
            "fax_number": "404-255-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ERROL PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274869",
            "telephone_number": "678-777-1161",
            "fax_number": "404-255-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGMAN",
        "first_name": "ALAN",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.