Barry Bragg, CN

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

3607 Falls River Ave Ste 111
Raleigh, NC 27614-7365

Phone

(919) 614-4022

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1962978403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SMITH CREEK WAY",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877951",
            "telephone_number": "919-614-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 FALLS RIVER AVE STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147365",
            "telephone_number": "919-614-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "CN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Brady-Chitjian, ED.D., B.C.B.A.-D.
• Andrew Robert Brady, LCMHC-A
• Jennifer Brady, CCC-SLP
• Larissa Rose Brady, OTR/L
• Ashley Elizabeth Shearin Bragg, PA
• Gabriella Bragg
• Julie Bragg, CFOM., CPED
• Felicia Nicole Braggs, LCMHCA, LCASA
• Nipa Patel Brahmbhatt, PA
• Jae Brainard, LCSW

• Nutritionist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.