DR. THOMAS A BRAGG (NPI# 1790891885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790891885 |
| Entity Type | Individual |
| Full Name | DR. THOMAS A BRAGG |
| Credential | D.O. |
| Practice Address |
2100 Silva Ln Suite A Moberly MO 65270-3600 |
| Practice Telephone | 6602637201 |
| Practice Fax Number | 6602632260 |
| Mailing Telephone | 6602637201 |
| Mailing Fax Number | 6602632260 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R8695 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 9580 | 01 |
| MO | 240952853 | 05 | |
| UNITED HEALTHCARE | 0104064 | 01 |
| Street Address |
2100 SILVA LN SUITE A |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376919670 | Elite Pain Management, LLC | Pain Medicine | 2100 Silva Ln, Moberly, MO 65270-3600 | 2015-08-20 |
| 1518343292 | Lynn Nicole Netzer | Physical Therapist | 2100 Silva Ln, Ste B, Moberly, MO 65270-3600 | 2015-08-05 |
| 1356513667 | Jennifer Lynn Epperson | Physical Therapist | 2100 Silva Ln, Suite B, Moberly, MO 65270-3600 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| 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 |
|---|---|---|---|---|
| 1962401430 | Randy A Foster | Family Medicine | 300 N Morley St, Suite G, Moberly, MO 65270-2334 | 2005-07-18 |
| 1982603452 | Forest Reginald Conley | Family Medicine | 1145 S Morley St, Moberly, MO 65270-1948 | 2005-07-18 |
| 1922360882 | Katy Farber Williams | Family Medicine | 1501 Union Ave, Suite A & B, Moberly, MO 65270-9469 | 2012-06-15 |
| 1881888329 | Conley Clinic LLC | Family Medicine | 1145 S Morley St, Ste 5, Moberly, MO 65270-1948 | 2007-08-28 |
| 1639377336 | Heather Marie Gessling | Family Medicine | 1501 Union Ave, Suite A and B, Moberly, MO 65270-9469 | 2007-07-05 |
| 1417013129 | Moberly Physicians Corp | Family Medicine | 1513 Union Ave, Suite 1600, Moberly, MO 65270-9407 | 2006-12-28 |
| 1609986991 | Janet Baxter | Family Medicine | 1600 N Morley St, Moberly, MO 65270-3666 | 2006-08-30 |
| 1134137391 | Foster Family Medicine & Associates LLC | Family Medicine | 300 N Morley St, Moberly, MO 65270-2334 | 2006-08-04 |
| 1568403293 | Terry Thrasher,d.o. | Family Medicine | 630 N Morley St, Suite 105-107, Moberly, MO 65270-2556 | 2006-06-10 |
| 1881693323 | Philip Stitzer | Family Medicine | 1501 Union Ave, Suite C & D, Moberly, MO 65270-9469 | 2005-07-18 |
| Find all providers in MOBERLY | ||||
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| 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.