Active NPI
Robert Keith Bragonier, CERTIFIED PSYCHOLOGI
- Clinical Psychologist
- Olathe, KS
National Provider Identifier
1750660973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- KY32
- Practice address
- 21350 W 153Rd St
Olathe, KS 66061-5413 - Phone
- (859) 254-1035
- NPI assigned
- Aug 4, 2011
- Last updated
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | KY32 | KY | Primary |
Addresses
Primary practice location
21350 W 153Rd St
Olathe, KS 66061-5413
Mailing address
21350 W 153Rd St
Olathe, KS 66061-5413
Phone (859) 254-1035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY32 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1750660973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21350 W 153RD ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615413",
"telephone_number": "859-254-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21350 W 153RD ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615413",
"telephone_number": "859-254-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGONIER",
"first_name": "ROBERT",
"middle_name": "KEITH",
"credential": "CERTIFIED PSYCHOLOGI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.