Individual provider Active NPI

Kirk Bragg, L.I.S.W.

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1295909612
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2940 Ingersoll Avenue
Des Moines, IA 50312-4015
Phone
(515) 244-1416
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IA Primary

Addresses

Primary practice location

2940 Ingersoll Avenue
Des Moines, IA 50312-4015

Mailing address

2940 Ingersoll Avenue
Des Moines, IA 50312-4015
Phone (515) 244-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000037 IA Practitioner - Clinical Social Worker 1951471333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Clinical Associates PLLCGroup PAC ID 2062648017, 25 clinicians

Practice addresses (Care Compare)

2500 82ND PL
Urbandale, IA 50322-4329
Phone (515) 412-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00523IAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Clinical Associates PLLC CurrentSince Feb 1, 2020 Accepting new patients
Pediatrics and Adolescent Medicine, P.C. Clinical Past Accepting new patients

Locations

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1295909612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 INGERSOLL AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124015",
            "telephone_number": "515-244-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 INGERSOLL AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124015",
            "telephone_number": "515-244-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "KIRK",
        "name_prefix": "Mr.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.