Micah Neal Bragdon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3433 Issued in KY

Practice address

1000 S Limestone
Lexington, KY 40536-0298

Phone

(859) 323-5901

Fax

(859) 323-3040

NPI assigned

May 14, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ephraim McDowell Health Resource IncGroup PAC ID 7517876956, 161 clinicians

The James B Haggin Memorial Hospital IncGroup PAC ID 8527957448, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ephraim McDowell Health Resource, Inc.

  dba Danville Family Physicians

  • Family Medicine Physician
  • Danville, KY
  • NPI 1487708533
  Medicare reassignment Care Compare group
• The James B. Haggin Memorial Hospital Inc

  • Emergency Medicine Physician
  • Harrodsburg, KY
  • NPI 1558581785
  Medicare reassignment Care Compare group
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Empact Midwest LLC

  • Emergency Medicine Physician
  • Danville, KY
  • NPI 1841801784
  Medicare reassignment
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Specialty Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, KY
  • NPI 1174484463

  Medical

  NPD
• Ephraim McDowell Health Resource, Inc

  • Gastroenterology Physician
  • Danville, KY
  • NPI 1477879500

  Physician Assistant

  NPD
• Nick Dedman, MD and Associates, P.S.C.

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1679523559
  NPD
• The James B. Haggin Memorial Hospital Inc

  dba Ephraim McDowell James B. Haggin Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Harrodsburg, KY
  • NPI 1518975556
  NPD
• The James B. Haggin Memorial Hospital Inc

  dba Ephraim McDowell Dedman Primary Care

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1740794908

  Physician Assistant

  NPD
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Garrard Clinic

  • Rural Health Clinic/Center
  • Lancaster, KY
  • NPI 1518240969
  NPD (past)
• Ephraim McDowell Health Resource, Inc.

  dba Harrodsburg Family Medical Center

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1174678643
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephraim McDowell Regional Medical Center Incorporated

  dba Kids Can Do

  • Rehabilitation Hospital Unit
  • Danville, KY
  • NPI 1639360472
  Care Compare affiliation
• Ephraim McDowell Regional Medical Center Incorporated

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1821135963
  Care Compare affiliation

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1710736541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET",
            "address_2": "UK COLLEGE OF MEDICINE M-53 CHANDLER MEDICAL CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-5901",
            "fax_number": "859-323-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221823",
            "country_code": "US",
            "telephone_number": "859-239-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGDON",
        "first_name": "MICAH",
        "middle_name": "NEAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3433",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA3433",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA3433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bradley, PHARMD
• Madeline Hunt Bradley, PH.D.
• Melanie Hatfield Bradley, M.D.
• Jamie Lee Bradshaw
• Rachel Lea Brady, M.S., CCC-SLP
• Makayla Bragg
• Brain Health Center PSC (TMS Treatment Center PSC)
• David Anthony Brajuha, ATC
• Jane F Brake, PH.D.
• Crystal Lynn Brakefield

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.