Benjamin Kevin Bragg
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cullowhee, NC
NPI 1992193072 · NPPES record last updated Dec 24, 2014
Key facts
- NPI
- 1992193072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 70 Westside Dr
Apt# 201
Cullowhee, NC 28723-1080 - Phone
- (865) 368-0054
- NPI assigned
- Dec 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
70 Westside Dr
Apt# 201
Cullowhee, NC 28723-1080
Mailing address
70 Westside Dr
Apt# 201
Cullowhee, NC 28723-1080
Phone (865) 368-0054
Other providers in Cullowhee, NC
- Haley Christine Bennington
- Grace Bingham
- Alaina Blanton
- Linda S Bowers
- Amahri Boykin
- Mari Belle Breeden
- William Dale Brotherton
- Andrew Harrison Browder
- Hannah Bruce
- Betsy J Butner
All providers in Cullowhee, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.