JULIE BRAGG (NPI# 1093863862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093863862 |
Entity Type | Individual |
Full Name | JULIE BRAGG |
Credential | CFOM., CPED |
Practice Address |
451 Ruin Creek Rd Suite 102 Henderson NC 27536-2878 |
Practice Telephone | 2524362611 |
Practice Fax Number | 2524360217 |
Mailing Telephone | 2524362611 |
Mailing Fax Number | 2524360217 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2011-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7795286 | 05 | |
NC | 7795259 | 05 | |
NC | BCBS | 046KY | 01 |
NC | 7703875 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588131874 | Julie Ann Bragg | Social Worker | 66 Brookline St, Townsend, MA 01469-1507 | 2018-10-25 |
1649541178 | Julie Bragg | Occupational Therapist | 8650 Governors Hill Dr, Cincinnati, OH 45249-1372 | 2012-01-13 |
Street Address |
451 RUIN CREEK RD SUITE 102 |
City | HENDERSON |
State | NC |
Zip Code | 27536-2878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235194671 | Cornelius F Cathcart | Pediatrics | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2006-04-19 |
1790221612 | Interventional Pain Center, Pllc | Anesthesiology | 451 Ruin Creek Rd, Suite 103, Henderson, NC 27536-2878 | 2017-01-17 |
1235530825 | Lovika Horton | Nurse Practitioner | 451 Ruin Creek Rd, Henderson, NC 27536-2878 | 2014-09-15 |
1740613207 | Mary Leann Michelle Cathcart | Nurse Practitioner | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2013-08-19 |
1750635470 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 451 Ruin Creek Rd, Suite 202, Henderson, NC 27536-5965 | 2012-11-02 |
1881904084 | Tina Gupta Dds Pa II | Clinic/Center | 451 Ruin Creek Rd, Suite 201, Henderson, NC 27536-2878 | 2010-10-21 |
1588982466 | Jacquetta Taisha Randall | Pediatrics | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2010-05-17 |
1881926517 | Britney Kasey Sanders | Physician Assistant | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2010-02-05 |
1518148519 | Allison Anne Hayhurst | Physician Assistant | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2007-11-19 |
1992902266 | Mark Fordham | Prosthetist | 451 Ruin Creek Rd, Ste. 102, Henderson, NC 27536-2878 | 2007-06-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
Find all providers in zip 27536 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.