Clifford J Bragg (NPI# 1912486523, PAC ID# 6204188527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912486523 |
| PAC ID by PECOS | 6204188527 |
| Professional Enrollment ID | I20181015000561 |
| Full Name | Clifford J Bragg |
| Organization Legal Name | HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC |
| Address |
1755 Airway Ave Kingman AZ 86409-3620 |
| Phone Number | 9286811234 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789674920 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030117 | VALLEY VIEW MEDICAL CENTER |
| 030101 | WESTERN ARIZONA REGIONAL MEDICAL CENTER |
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| 051323 | COLORADO RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1755 Airway Ave, Kingman, AZ 86409-3620 | 9286811234 | HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC |
| Organization Legal Name | HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margot D Henderson | Physician Assistant | Hematology Oncology Associates of North Jersey, LLC | 1755 Airway Ave, Kingman, AZ 86409-3620 |
| Hamdy Mohtaseb | Hematology/oncology | Hematology Oncology Associates of North Jersey, LLC | 1755 Airway Ave, Kingman, AZ 86409-3620 |
| Street Address |
1755 AIRWAY AVE |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-3620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margot D Henderson | Physician Assistant | Hematology Oncology Associates of North Jersey, LLC | 1755 Airway Ave, Kingman, AZ 86409-3620 |
| Hamdy Mohtaseb | Hematology/oncology | Hematology Oncology Associates of North Jersey, LLC | 1755 Airway Ave, Kingman, AZ 86409-3620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| John A Weidner | Family Medicine | 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 | |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KINGMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Clifford J Bragg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.