William Henry Bragdon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2313 Issued in SC

Practice address

155 A Halton Road
Greenville, SC 29607

Phone

(864) 289-9752

Fax

(864) 297-9053

NPI assigned

Feb 22, 2007

Last updated

Jul 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1790810877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 A HALTON RD.",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-289-9752",
            "fax_number": "864-297-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 A HALTON ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-289-9752",
            "fax_number": "864-297-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGDON",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Bradley-Wall, PHARMD
• Jessica Cruz Bradley
• Tanika Bradley
• Angela Tollison Brady, LPC
• Tara C. Brady, PHYSICAL THERAPIST
• Abigail Bragg
• Brain Body Health Alliance LLC
• Marie Elizabeth Brainard, OTR/L
• Brake Chiropractic PA
• Barbara Lynn Brake, D.C.

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.