ROBERT BRAGG


Address: 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213
Phone: 3077333908

ROBERT BRAGG (NPI# 1225469661) 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) 1225469661
Entity Type Individual
Full Name ROBERT BRAGG
Credential LAT
Practice Address 610 W Broadway Ave Ste L1
Jackson
WY 83001-8213
Mailing Address Po Box 11390
Jackson
WY 83002-1390
Practice Telephone 3077333908
Practice Fax Number 3077340017
Mailing Telephone 3077333908
Enumeration Date 2013-12-11
Last Update Date 2013-12-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LAT-202 WY Behavioral Health & Social Service Providers

Other Providers ROBERT BRAGG

NPI Name Taxonomy Address Enumeration
1164050175 Robert Taylor Bragg Student in an Organized Health Care Education/Training Program 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 2020-03-27
1770871972 Robert Loyd Bragg Marriage & Family Therapist 334 N Topeka St, Wichita, KS 67202-2400 2011-07-21
1073804035 Robert Meaders Bragg Pharmacist 2300 Mcfarland Blvd, Northport, AL 35476-2927 2011-04-26
1437207388 Robert Bragg Podiatrist 25825 Vermont Ave, Harbor City, CA 90710-3518 2007-01-08

Office Location

Street Address 610 W BROADWAY AVE STE L1
City JACKSON
State WY
Zip Code 83001-8213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144836271 Wood M Palmer Peer Specialist 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 2020-09-23
1497384515 Ryann N Linthicum Social Worker 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 2020-04-02
1497303853 Heather Noelle Franklin Social Worker 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 2019-08-29
1518513852 Hillary Lavino Social Worker 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 2019-08-13
1033645825 Jamie R Lasden Social Worker 610 W Broadway Ave Ste L1, Jackson, WY 83001-8213 2017-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
Find all providers in zip 83001

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457952665 John Cate Owen Counselor 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 2020-11-04
1760098727 Anna Marie Jones Counselor 32 Portsmouth St, Jackson, OH 45640-1622 2020-09-16
1891313656 Kayla Lynn Fazzari Counselor N168w20964 Main St, Jackson, WI 53037-9634 2020-07-08
1184184202 Tracy Dawn Schuh Counselor 300 Morton St, Jackson, OH 45640-1028 2019-03-24
1013483858 Bradley A Tompson Counselor 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 2018-10-19
1295237048 Impact Behavioral Counseling LLC Counselor 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 2018-03-07
1942708920 Candace R Downey Counselor 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 2018-01-25
1508379462 Vicki Lee Harper Counselor 295 Broadway St Ste 101, Jackson, OH 45640-1701 2017-11-14
1356867295 Stephanie Michelle Gilbert Counselor 345 E Main St Ste A, Jackson, OH 45640-1780 2017-08-22
1477081206 Trending Upwards Counselor 1754 Highway 15 N, Jackson, KY 41339 2017-05-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 83001

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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