Michael Walter Bragg Sr., CDCA/CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.004519 Issued in OH

Practice address

2611 Wayne Ave BLDG 64
Dayton, OH 45420-1833

Phone

(937) 256-7801

NPI assigned

May 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Access Hospital Dayton LLC

  • Psychiatric Hospital
  • Dayton, OH
  • NPI 1063737765
  NPD (past)
• Access Ohio, LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD (past)

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1821889452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 SIDNEYWOOD DR APT E",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454492671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WAYNE AVE BLDG 64",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201833",
            "telephone_number": "937-256-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "MICHAEL",
        "middle_name": "WALTER",
        "name_suffix": "Sr.",
        "credential": "CDCA/CPRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.188453",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Bradshaw, LISW
• Blythe Brady, MSN, APRN, FNP-C
• Tina Brady, LCDCLLL
• Mary Patricia Braeuning, M.D.
• Michael Bragg
• Amy Brahic
• Sreya Brahmandam, MD, MPH, MSBS
• Michael Dean Brakeall Jr., LCDC II
• Brooke Elizabeth Bramlage, PHARMD
• Luke Charles Bramlage, MD

• Peer Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.