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JULIE BRAGG CFOM. CPED NPI 1093863862


NPI Information

NPI: 1093863862
Provider Name: JULIE BRAGG, CFOM., CPED
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
451 RUIN CREEK RD
SUITE 102
HENDERSON, NC
ZIP 27536
Phone: (252) 436-2611
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Julie Bragg, CFOM., CPED is an orthotic fitter in Henderson, NC. The provider is an individual trained in the management of fitting prefabricated orthoses. Julie Bragg, CFOM., CPED NPI is 1093863862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

451 RUIN CREEK RD
SUITE 102
HENDERSON, NC
ZIP 27536-878
Phone: (252) 436-2611
Fax: (252) 436-0217

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224900000XMastectomy FitterNo
2224L00000XPedorthistNo
3225000000XOrthotic FitterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17795259MEDICAIDNORTH CAROLINA
27795286MEDICAIDNORTH CAROLINA
37703875MEDICAIDNORTH CAROLINA
41179580002MEDICARE NSCNORTH CAROLINA
51179580001MEDICARE NSCNORTH CAROLINA
6046KYOTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.