KAITLYN MARIE BRAGAN


Address: 1 Hurley Plz, Flint, MI 48503-5902
Phone: 8102629000

KAITLYN MARIE BRAGAN (NPI# 1598240574) 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) 1598240574
Entity Type Individual
Full Name KAITLYN MARIE BRAGAN
Credential PA-C
Practice Address 1 Hurley Plz
Flint
MI 48503-5902
Practice Telephone 8102629000
Mailing Telephone 8102629000
Enumeration Date 2018-09-26
Last Update Date 2018-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601008841 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1598240574 05
MI MEDICARE M32030186 01

Office Location

Street Address 1 HURLEY PLZ
City FLINT
State MI
Zip Code 48503-5902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578567053 Robert Welch Obstetrics & Gynecology 1 Hurley Plz, Flint, MI 48503-5902 2005-06-13
1114526076 Vin Zephyr Swift Physician Assistant 1 Hurley Plz, Flint, MI 48503-5902 2020-10-21
1245843275 Bashir Imam Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-08-28
1639789837 Hadeel Allam Pediatrics 1 Hurley Plz, Flint, MI 48503-5902 2020-08-03
1629687637 Tazeen Qureshi Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-07-26
1831707157 Samira Ali Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-07-22
1629695218 Jillian Arlene Morris Nurse Practitioner 1 Hurley Plz, Flint, MI 48503-5902 2020-06-29
1609492164 Monica Rani Julapelly Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-06-21
1992321830 Brittany Radler Nurse Practitioner 1 Hurley Plz, Flint, MI 48503-5902 2020-06-16
1073137071 Kirsten Nicole Bonifacio Student in an Organized Health Care Education/Training Program 1 Hurley Plz, Flint, MI 48503-5902 2020-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457971640 Flint Odyssey House Inc. Community/Behavioral Health 1219 Martin Luther King Avenue, Flint, MI 48503 2020-04-17
1891265476 Mary Margaret Woodruff Health Educator 411 E. Third St Suite 2, Flint, MI 48503 2018-11-27
1669942223 Donna Jean Phelps Behavior Technician 2284 S Ballenger Highway, Flint, MI 48503 2018-11-27
1588150601 Dayonna Scott Social Worker Hope Network, 2830 Corunna Rd, Flint, MI 48503 2018-07-02
1801388020 Walgreen Co Durable Medical Equipment & Medical Supplies 2284 S Ballenger Hwy Ste F, Flint, MI 48503 2018-06-04
1134610504 Swathi Gorle Student in an Organized Health Care Education/Training Program Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 2018-05-22
1881128049 Kara Garr Registered Nurse 805 Tuuri Pl, Flint, MI 48503 2017-04-14
1518405638 Thomasinia Terrell Peer Specialist 422 W Fourth Ave, Flint, MI 48503 2017-02-09
1790231041 Roslyn Boyce Technician, Other 2213 E. Court Street, Flint, MI 48503 2016-08-28
1689120818 Yasmine Elhefnawy Student in an Organized Health Care Education/Training Program One Hurley Plaza 3d West, Flint, MI 48503 2016-08-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245847870 Alexis Nichole Leach Physician Assistant 5494 South Dort Hwy, Flint, MI 48507 2020-09-28
1588147441 Julia Shea Roberts Physician Assistant 1125 S Linden Rd Ste 210, Flint, MI 48532-4069 2018-09-07
1063848992 Annalee Polmatier Physician Assistant 4520 Linden Creek Pkwy Ste F1, Flint, MI 48507-2969 2013-09-24
1629314430 Faye Ann Curtis Physician Assistant 924 Tacken St, Flint, MI 48532-5071 2012-12-26
1689615791 Wendy Sue Meredith Physician Assistant 2303 Stone Bridge Drive, Flint, MI 48532-5407 2006-06-09
1114526076 Vin Zephyr Swift Physician Assistant 1 Hurley Plz, Flint, MI 48503-5902 2020-10-21
1083244743 Jacqueline Vita Vyskocil Physician Assistant 1 Hurley Plz, Flint, MI 48503-5902 2020-01-22
1093372278 Noimus Salam Physician Assistant 1 Hurley Plz, Flint, MI 48503-5902 2019-05-23
1114488541 Steven Sarnowski Physician Assistant 4455 Town Center Pkwy, Flint, MI 48532-3425 2019-03-28
1538634548 Camrion Grabowski Physician Assistant 1 Hurley Plz, Flint, MI 48503-5902 2018-10-05
Find all providers in FLINT

Competitor

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City FLINT
Zip Code 48503

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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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