BRANDI BRAGG (NPI# 1285158386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285158386 |
Entity Type | Individual |
Full Name | BRANDI BRAGG |
Practice Address |
2236 Brook Dr Kalamazoo MI 49048-2806 |
Mailing Address |
1490 E Beltline Ave Se Grand Rapids MI 49506-4336 |
Practice Telephone | 2694927205 |
Enumeration Date | 2017-07-31 |
Last Update Date | 2017-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194135566 | Brandi Nicole Bragg | Case Manager/Care Coordinator | 531 Par Dr Apt 9, Marion, AR 72364-1666 | 2014-05-06 |
Street Address |
2236 BROOK DR |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-2806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023369139 | Eric Herman | Rehabilitation Counselor | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2012-09-28 |
1144839572 | Christine Piazza | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-07-31 |
1275142655 | Makenzie Ann Kuhns | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-07-30 |
1639795115 | Brooke Marianna Shirley | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-06-22 |
1356974455 | Jada Kristine Lassiter | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-02-17 |
1588296685 | Katrina Ann Jones | Licensed Practical Nurse | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-02-06 |
1699307066 | Gabrielle N Marsh | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-02-04 |
1508409764 | Sara Fleury | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2019-10-21 |
1689222630 | Ahlana Lawshea | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2019-09-03 |
1841782646 | Madison Elysse Mccartney | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2018-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
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Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972046829 | Samantha Emery | Rehabilitation Practitioner | 172 W Crooked Lake Dr, Kalamazoo, MI 49009-9713 | 2016-11-27 |
1700336880 | Alyssa Laney | Rehabilitation Practitioner | 1017 Par 4 Cir, Kalamazoo, MI 49008-2915 | 2016-10-12 |
1013461144 | Erica Hisler | Rehabilitation Practitioner | 2023 Chaparral St, Kalamazoo, MI 49006-1324 | 2016-08-05 |
1154774826 | Destinee A Wells | Rehabilitation Practitioner | 4334 Ridgeway Cir, Apt E, Kalamazoo, MI 49006-6240 | 2016-07-19 |
1861849960 | Karen Mcpherson | Rehabilitation Practitioner | 2826 Sonora St., Kalamazoo, MI 49004 | 2016-05-18 |
1649626219 | Jevestine Faith Johnston | Rehabilitation Practitioner | 134 Parker Ave, Kalamazoo, MI 49001-5350 | 2016-05-12 |
1457707531 | Amanda Kitler | Rehabilitation Practitioner | 4129 Pembrook St, Kalamazoo, MI 49008-3203 | 2016-05-09 |
1114381522 | Colette Mattox | Rehabilitation Practitioner | 5818 N Jefferson Commons Cir Apt 104, Kalamazoo, MI 49009-6074 | 2016-04-12 |
1558725077 | Ieasha Johnson | Rehabilitation Practitioner | 1115 Prairie Ave, Kalamazoo, MI 49006-2267 | 2016-04-11 |
1982064838 | Jessica Fleury | Rehabilitation Practitioner | 7758 E G Ave, Kalamazoo, MI 49048-8202 | 2016-03-03 |
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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.