Thomas A Bragg (NPI# 1790891885, PAC ID# 3870621964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790891885 |
| PAC ID by PECOS | 3870621964 |
| Professional Enrollment ID | I20100511000683 |
| Full Name | Thomas A Bragg |
| Address |
2100 Silva Ln A Moberly MO 65270-3600 |
| Phone Number | 6602637201 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260074 | MOBERLY REGIONAL MEDICAL CENTER |
| 261313 | MACON COUNTY SAMARITAN MEMORIAL HOSPITAL |
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1201 N Rutherford St, Macon, MO 63552-2020 | 6603858700 | MACON COUNTY SAMARITAN HOSPITAL |
| 1515 Union Ave, Moberly, MO 65270-9407 | 6602638400 | MOBERLY HOSPITAL COMPANY LLC |
| 2100 Silva Ln A, Moberly, MO 65270-3600 | 6602637201 |
| Street Address |
2100 SILVA LN A |
| City | MOBERLY |
| State | MO |
| Zip | 65270-3600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny R Boardsen | Optometry | 541 W Reed St, Moberly, MO 65270-1509 | |
| Mark A Lajeunesse | Chiropractic | 526 W Reed St, Moberly, MO 65270-1510 | |
| Justin Gary Lamonda | Internal Medicine | 1145 S Morley St, Justin G Lamonda Md, Moberly, MO 65270-1901 | |
| Thomas Gary Johnston | Physical Therapy | 417 E Urbandale Dr, Moberly, MO 65270-1936 | |
| David M Whitson | Optometry | Moberly Eye Center Inc | 1633 S Morley St, Moberly, MO 65270-1938 |
| Ryan Wilkerson | Optometry | Moberly Eye Center Inc | 1633 S Morley St, Moberly, MO 65270-1938 |
| Shelly L Collins | Nurse Practitioner | Conley Clinic LLC | 1145 S Morley St, Moberly, MO 65270-1948 |
| Forest R Conley | General Practice | Conley Clinic LLC | 1145 S Morley St, Moberly, MO 65270-1948 |
| Randy A Foster | Family Medicine | 630 N Morley St, Suite 105, Moberly, MO 65270-2556 | |
| Terry Wayne Griggs | Chiropractic | 1110 N Morley St, Moberly, MO 65270-2737 | |
| Find all physicians in zip 65270 | |||
| City | MOBERLY |
| Zip Code | 65270 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOBERLY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas A Bragg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.