Barbara J Bragg, RNC WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71000474A Issued in IN

Practice address

1419 W Bella Dr
Marion, IN 46953-5250

Phone

(765) 660-7580

Fax

(765) 664-0469

NPI assigned

Nov 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: barbara.bragg@mgh.eclinicaldirectplus.com

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1912988676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NORTH WABASH AVENUE",
            "address_2": "SUITE G20",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522600",
            "telephone_number": "765-660-7600",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W BELLA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535250",
            "telephone_number": "765-660-7580",
            "fax_number": "765-664-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "RNC WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71000474A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000343049",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100411290Z",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford G Bichey, M.D. LLC
• Jacob Bradford, LMHC-A
• Jailyn Bradley
• Heather D Brady, FNP-C
• Robin Brady, SLP
• Jeffrey W. Bragg, D.O.
• Randi D Bragg, NP
• Tiffany Lane Bragg
• Diana Branham, LCSW
• Jodi Lee Brankle, LMT

• Women's Health Nurse Practitioner in Marion, IN
• Providers in Marion, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.