NPI 1144376732

Billy J Bragg

Practitioner Medical Physician Assistant Bridgeport, WV

Practice location

Address: 215 W Main St, Bridgeport, WV 26330-1748
Phone: (304) 842-6645
Fax: (304) 842-4909
Mailing address: Rr 1 Box 359a, Mount Clare, WV 26408-9731

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 000554 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1144376732
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2007
Record last updated: 7 May 2008

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.