Individual provider · Type 1 NPI

Billy J. Bragg

Medical Physician Assistant · Bridgeport, WV

NPI number 1144376732 Active

Practice location

215 W Main St
Bridgeport, WV 26330-1748

Call (304) 842-6645 Map

Fax (304) 842-4909

Mailing address

RR 1 Box 359A
Mount Clare, WV 26408-9731

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X000554 (WV)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1144376732

Billy J. Bragg's National Provider Identifier is 1144376732, issued on Jan 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, WV. The record was last updated on May 7, 2008.