DANA EUGENE BRAGG (NPI# 1598746562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598746562 |
| Entity Type | Individual |
| Full Name | DANA EUGENE BRAGG |
| Credential | MD |
| Practice Address |
4 Hospital Plz Suite 304 Clarksburg WV 26301-9327 |
| Practice Telephone | 3046247111 |
| Practice Fax Number | 3046249267 |
| Mailing Telephone | 3046247111 |
| Mailing Fax Number | 3046249267 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15635 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0071747000 | 05 |
| Street Address |
4 HOSPITAL PLZ SUITE 304 |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-9327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003042060 | Rebekah E Hicks | Physician Assistant | 4 Hospital Plz, Suite 210, Clarksburg, WV 26301-9327 | 2009-06-04 |
| 1386769206 | James J. Demarco M.d. | Internal Medicine | 4 Hospital Plz, Suite 205, Clarksburg, WV 26301-9327 | 2007-03-20 |
| 1013017011 | Janet L Childers | Physician Assistant | 4 Hospital Plz, Clarksburg, WV 26301-9327 | 2006-09-22 |
| 1093791840 | Antoinette R Marascio | Nurse Practitioner | 4 Hospital Plz, Clarksburg, WV 26301-9327 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659635 | Larry John Kachik | Family Medicine | 135 Kennedy Rd, Clarksburg, PA 15725-8701 | 2008-05-10 |
| 1447436407 | Desirae Shavon Alasky | Family Medicine | 1664 E Pike St, Clarksburg, WV 26301-6011 | 2008-01-21 |
| 1629152897 | Terrence Edward Smith | Family Medicine | 52992 Sacramento Street, Box 69, Clarksburg, CA 95612-0069 | 2006-10-24 |
| 1760581326 | Dominick Ryan Woofter | Family Medicine | 1664 E Pike Street, Clarksburg, WV 26301-6011 | 2006-09-21 |
| 1366540106 | William G. Bowles | Family Medicine | 2673 Davisson Run Rd Ste 101, Clarksburg, WV 26301-6838 | 2006-09-20 |
| 1366553166 | Michael T Montgomery | Family Medicine | 469 Emily Dr, Clarksburg, WV 26301-5512 | 2006-08-31 |
| 1316917719 | Karen A Glogowski | Family Medicine | 1 Medical Center Dr., Clarksburg, WV 26301 | 2006-01-26 |
| 1538147921 | Haney Wahba | Family Medicine | 29 Saltsburg Rd, Clarksburg, PA 15725-7400 | 2006-01-05 |
| 1013238369 | Jill L Taylor Phillips | Family Medicine | 1 Medical Center Drive, Suite 2, Clarksburg, WV 26301-4199 | 2010-06-21 |
| 1396066692 | Lea Angela M Singzon | Family Medicine | 2673 Davisson Run Rd Ste 101, Clarksburg, WV 26301-6838 | 2010-06-21 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on DANA EUGENE 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.