Tyler Ross Bragg, DC

Individual provider Active NPI Chiropractor · Campbellsville, KY

NPI 1508748609 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1508748609
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
300229 (KY)
Practice address
108 Lebanon Ave
Campbellsville, KY 42718-1839
Phone
(270) 403-9535
NPI assigned
Jul 22, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Holler Performance Health PLLC Chiropractor Current Accepting new patients

Locations

108 Lebanon Ave
Campbellsvlle, KY 42718
Phone (270) 789-0060

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 300229 KY Yes

Addresses

Primary practice location

108 Lebanon Ave
Campbellsville, KY 42718-1839

Mailing address

615 Osage Ave
Campbellsville, KY 42718-1632
Phone (270) 572-8971

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Chiropractor in Kentucky

Sources for this page

Verify at the official NPI Registry.