LARRY E BRAGG (NPI# 1619051414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619051414 |
| Entity Type | Individual |
| Full Name | LARRY E BRAGG |
| Credential | MD |
| Practice Address |
3515 30th Ave Kearney NE 68845-2298 |
| Mailing Address |
Po Box 2505 Kearney NE 68848-2505 |
| Practice Telephone | 3088652670 |
| Mailing Telephone | 3088652230 |
| Mailing Fax Number | 3082382254 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 17428 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47064194502 | 05 | |
| BCBS | 00403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278466 | Larry Mark Bragg | Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2005-07-14 |
| Street Address |
3515 30TH AVE |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337790 | Kearney Ambulatory Surgical Center, LLC | Clinic/Center | 3515 30th Ave, Kearney, NE 68845-2298 | 2006-02-27 |
| 1235529173 | Larry E Bragg LLC | Surgery | 3515 30th Ave, Kearney, NE 68845-2298 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780827204 | James R Waltz | Surgery | 15724 Oakmont Dr, Kearney, MO 64060-9251 | 2009-04-14 |
| 1235529173 | Larry E Bragg LLC | Surgery | 3515 30th Ave, Kearney, NE 68845-2298 | 2015-01-30 |
| 1205277225 | Brittney Maloley-lewis | Surgery | 211 W 33rd St, Kearney, NE 68845-3484 | 2013-07-08 |
| 1164543674 | Melissa Rae Stade | Surgery | 816 22nd Ave, Suite 100, Kearney, NE 68845-2234 | 2007-04-02 |
| 1922169663 | Brady James O'hare | Surgery | 211 W 33rd St, Kearney, NE 68845-3484 | 2006-12-13 |
| 1417031295 | William Thomas Sorrell | Surgery | 211 West 33rd Street, Kearney, NE 68845 | 2006-10-25 |
| 1750465548 | Jeffery T Merz | Surgery | 211 West 33rd Street, Kearney, NE 68845 | 2006-10-25 |
| 1518971282 | Jason D Walsh | Surgery | 816 22nd Ave, Suite 100, Kearney, NE 68845-2206 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821788 | Binghua Li | Surgery | 7710 Mercy Rd Ste 202 Cu-department of Surgery, Omaha, NE 68124-2353 | 2019-06-27 |
| 1225514185 | Lillia Cherkasskiy | Surgery | 7710 Mercy Road, Suite 202- Cu Department of Surgery, Omaha, NE 68124-2353 | 2018-07-13 |
| 1114441326 | Charles David Voigt | Surgery | 7710 Mercy Rd Ste 202 Cu Department of Surgery, Omaha, NE 68124-2368 | 2017-07-29 |
| 1992226617 | Andy W. Yang | Surgery | 7710 Mercy Road, Suite 202, Cumc Department of Surgery, Omaha, NE 68124-2353 | 2017-07-03 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1104279314 | German Eduardo Mendoza | Surgery | 601 N. 30th St. - Cu Dept of Surgery, Omaha, NE 68131-2128 | 2016-07-22 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1710360730 | Timothy Hallman | Surgery | 601 N. 30th St. -- Cu Department of Surgery, Omaha, NE 68131 | 2015-07-08 |
| 1356723225 | Bhavani Pokala | Surgery | 1015 N 14th St # 215, Omaha, NE 68102-4205 | 2015-06-26 |
| 1043692494 | Joshua Belle | Surgery | 983230 Nebraska Medical Ctr, Omaha, NE 68198-6426 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LARRY E BRAGG.
| 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.