ANDREW C BRAGDON M.D. NPI 1306895321

NPI Information

NPI: 1306895321
Provider Name: ANDREW C BRAGDON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
90 PRESIDENTIAL PLZ
4TH FLOOR
SYRACUSE, NY
ZIP 13202
Phone: (315) 464-4243
Get Directions

Andrew C Bragdon, M.D. is a neurology psychiatry neurology in Syracuse, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Andrew C Bragdon, M.D. NPI is 1306895321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

90 PRESIDENTIAL PLZ
4TH FLOOR
SYRACUSE, NY
ZIP 13202-240
Phone: (315) 464-4243
Fax: (315) 464-5350

The enumeration date for this NPI number is 5/8/2006 and was last updated on 5/6/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	178406	NEW YORK	No
2	2084N0400X	Psychiatry & Neurology	Neurology	178406	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	J400008733	MEDICARE PIN	NEW YORK
2	01137439	MEDICAID	NEW YORK
3	P130004521	MEDICARE PIN	NEW YORK

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

NPI Synchronization or Removal

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