Individual provider Active NPI

Alan D Bragwell, LPC

  • Professional Counselor
  • Florence, AL
National Provider Identifier
1336222660
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1820 Issued in AL
Practice address
205 S Seminary St
Keystone Business Centre
Florence, AL 35630-5665
Phone
(256) 332-2234
NPI assigned
Oct 23, 2006
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AL
Professional Counselor 101YP2500X 1820 AL Primary

Addresses

Primary practice location

205 S Seminary St
Keystone Business Centre
Florence, AL 35630-5665

Mailing address

205 S Seminary St
Ste. 107
Florence, AL 35630-5665
Phone (256) 332-2234

Other identifiers 1

IdentifierTypeStateIssuer
BCBS OF ALOtherAL515-14003

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1336222660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S SEMINARY ST",
            "address_2": "STE. 107",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305665",
            "telephone_number": "256-332-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S SEMINARY ST",
            "address_2": "KEYSTONE BUSINESS CENTRE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305665",
            "telephone_number": "256-332-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGWELL",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "515-14003",
            "identifier": "BCBS OF AL",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.