Active NPI
Donald Taylor Bragg, M.D.
- Urology Physician
- Homewood, AL
National Provider Identifier
1295789055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 14783
- Practice address
- 3485 Independence Dr
Homewood, AL 35209-5603 - Phone
- (205) 930-0920
- Fax
- (205) 445-0115
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 14783 | AL | Primary |
Addresses
Primary practice location
3485 Independence Dr
Homewood, AL 35209-5603
Mailing address
3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-19931 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 0366100001 | Other | AL | CIGNA GOVERNMENT SERVICES PLAN |
| 133525 | Medicaid | AL | |
| 511-18857 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14783 | AL | MD | Pharmacist |
Interoperability endpoints
- donaldbragg@uca.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1295789055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-930-0920",
"fax_number": "205-445-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-930-0920",
"fax_number": "205-445-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGG",
"first_name": "DONALD",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "14783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "511-19931",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES PLAN",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133525",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "511-18857",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.