JENNIFER WOODBURY BRAGG


Address: 50 Sewall Street, Portland, ME 04102
Phone: 2077753526

JENNIFER WOODBURY BRAGG (NPI# 1093921025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093921025
Entity Type Individual
Full Name JENNIFER WOODBURY BRAGG
Credential M.D.
Practice Address 50 Sewall Street
Portland
ME 04102
Practice Telephone 2077753526
Mailing Telephone 2077753526
Enumeration Date 2007-05-15
Last Update Date 2007-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 017459 ME Allopathic & Osteopathic Physicians

Other Providers JENNIFER BRAGG

NPI Name Taxonomy Address Enumeration
1558529719 Jennifer Bragg Pediatrics One Hospital Plaza, Stamford, CT 06902-3628 2008-05-23
1144230350 Jennifer Sherwood Bragg Dentist 655 Atlanta Rd, Suite 701, Cumming, GA 30040-2785 2006-08-09

Office Location

Street Address 50 SEWALL STREET
City PORTLAND
State ME
Zip Code 04102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235349879 Jane Glass Physical Medicine & Rehabilitation 50 Sewall Street, Suite 301, Portland, ME 04102 2007-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508303561 Carter Kroeplin Haag Dermatology 3303 S Bond Ave # 16d, Portland, OR 97239-4501 2017-01-27
1043765134 Noelle Teske Dermatology 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 2016-08-18
1134579535 Caroline Morris Dermatology 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 2016-06-16
1033539184 Natasha Fewkes Carter Dermatology 4914 Sw 1st Ave, Portland, OR 97239-2883 2014-04-16
1538588504 Elizabeth Berry Dermatology Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 2014-04-07
1124250584 Einar Axel Juhlin Dermatology 340 Eastern Promenade, Unit 154, Portland, ME 04101-2754 2009-08-19
1902040777 Rajan P Kulkarni Dermatology 3303 Sw Bond Ave Ste 16, Portland, OR 97239 2009-04-23
1124280540 Omar N Qutub Dermatology 1129 Nw 11th Ave, Portland, OR 97209-3469 2008-06-26
1285891168 Stacy Nicole Reed Dermatology 13305 Nw Cornell Rd Ste C, Portland, OR 97229-5987 2008-05-19
1427243591 Robert Bickford Amon Dermatology 1700 Sw Broadway Dr, Portland, OR 97201-2211 2007-09-11
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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Dataset Information

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.

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