Organization Active NPI

Braggs Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Stockton, CA
National Provider Identifier
1386327989
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BRAGGS TRANSPORTATION LLC
Practice address
4215 N Pershing Ave Apt 19
Stockton, CA 95207-6941
Phone
(209) 403-9351
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Mr. Andre Bragg Sr., VANLIFT DRIVER
Title
Owner/Ceo
Phone
(209) 403-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4215 N Pershing Ave Apt 19
Stockton, CA 95207-6941

Mailing address

4215 N Pershing Ave Apt 19
Stockton, CA 95207-6941
Phone (209) 403-9351

Other names 1

  • Braggs Transportation LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1386327989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 N PERSHING AVE APT 19",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076941",
            "telephone_number": "209-403-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 N PERSHING AVE APT 19",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076941",
            "telephone_number": "209-403-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAGGS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "209-403-9351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "VANLIFT DRIVER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braggs Transportation LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.