Joann Bragg

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

9703 Issued in WV

Practice address

200 Elizabeth St
Charleston, WV 25311-2119

Phone

(304) 348-7740

Fax

(304) 348-6671

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kanawha County Schools

  • Local Education Agency (LEA)
  • Charleston, WV
  • NPI 1205035334
  NPD (past)
• Kanawha County Schools

  • Local Education Agency (LEA)
  • Charleston, WV
  • NPI 1407026636
  NPD (past)

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": "1396919700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 22ND ST",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELIZABETH ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112119",
            "telephone_number": "304-348-7740",
            "fax_number": "304-348-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WV",
            "license": "9703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9489018000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Bradshaw, MABRADSHAW68
• Wanda Marie Bradshaw
• James Edward Brady Jr.
• Austin Bragg
• Britney Bragg
• Johnna Bragg
• Kelly Bragg
• Lola Bragg
• Samantha M Bragg
• William L Bragg, MD

• School Psychologist in Charleston, WV
• Providers in Charleston, WV by specialty
• School Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.