Braegen Enterprises

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

BRAEGEN ENTERPRISES

Practice address

9451 E Winding Hill Ave
Lone Tree, CO 80124

Phone

(832) 881-8856

Fax

(720) 294-0170

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Ammie Jaggars, L.S.ANPI 1023253341

Title

Owner

Phone

(832) 881-8856

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ammie Jaggars, LSA

  • Surgical Assistant
  • Lone Tree, CO
  • NPI 1023253341

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1275928236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840967",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772840967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9451 E WINDING HILL AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "832-881-8856",
            "fax_number": "720-294-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAEGEN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "JAGGARS",
        "authorized_official_first_name": "AMMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-881-8856",
        "authorized_official_credential": "L.S.A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bowen, RN
• Kevin Louis Boyer, MD
• Kristen Lynn Sorensen Boylan, M.D.
• Rasa Bozaite-Gluosniene, MD
• Mark F Bozeman, M.D.
• Judy Elise Branch, MA, LPCC
• Adam James Brand, DO
• Eric T. Bratz
• Brent C Sigler MD PC
• Brent Penland MD P.C.

• Surgical Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.