Shanda Rose Bragg, RDMS

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

2471S1302X Issued in SD

Practice address

6709 S Minnesota Ave
Suite 203
Sioux Falls, SD 57108-2592

Phone

(605) 274-2525

Fax

(605) 274-0620

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By 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

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1508292095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE",
            "address_2": "SUITE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082592",
            "telephone_number": "605-274-2525",
            "fax_number": "605-274-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE",
            "address_2": "SUITE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082592",
            "telephone_number": "605-274-2525",
            "fax_number": "605-274-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "SHANDA",
        "middle_name": "ROSE",
        "credential": "RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "SD",
            "license": "2471S1302X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS",
            "identifier": "101870",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Renee Bradbury, OTR
• Mark B Bradley, D.P.M.
• Ashlyn Brady, RBT
• Morgan Brady, RBT
• Patriciann F Brady, RN LPC MH QMHP
• Samantha Rae Brandenburg, NP-C
• Verdayne R Brandenburg, MD
• Janice V Brandenburger, RDN
• Chase Brandner
• Christine M Brandner, D.C

• Other Technician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Other Technician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.