NPI 1003865239
Jack Dwayne Bragg, DO
Practice location
- Address
- One Hospital Dr, Columbia, MO 65212-0001
- Phone
- (573) 884-8445
- Fax
- (573) 884-5318
- Mailing address
- PO Box 843966, Kansas City, MO 64184-3966
Registered specialties
Gastroenterology Physician
Primary
Registry record
- NPI
- 1003865239
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 May 2006
- Record last updated
- 11 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.