John Earl Bragg is a Psychiatry in Columbia, South Carolina. John Earl Bragg practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John Earl Bragg is 1790746584. The last update date is 2018-04-16.
John Earl Bragg's current location address is 3555 Harden Street Ext Ste 141, Columbia, South Carolina. You can contact this provider via phone number 8034344300 and fax number 8034344277. The mailing address for John Earl Bragg is 3555 Harden Street Ext Ste 141, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Earl Bragg |
|---|---|
| Address | 3555 Harden Street Ext Ste 141, Columbia, South Carolina |
| Phone Number | 8034344300 |
| Fax Number | 8034344277 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790746584 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2018-04-16 |
Provider Mailing Address Detail
| Address | 3555 Harden Street Ext Ste 141 |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292036894 |
| Phone Number | 8034344300 |
| Fax Number | 8034344277 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 21102 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 211023 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Earl Bragg by the Centers for Medicare & Medicaid Services (CMS)?
The John Earl Bragg has been assigned the NPI (National Provider Identifier) 1790746584. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John Earl Bragg?
The John Earl Bragg is situated at 3555 Harden Street Ext Ste 141, in the city of Columbia, state of SC, with the zip code 292036894.
What is John Earl Bragg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Earl Bragg's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did John Earl Bragg receive its 1790746584 assignment?
The John Earl Bragg was assigned its 1790746584 on 2006-03-31, which is the date when this unique identifier was issued to the organization.
When was the information regarding John Earl Bragg most recently updated?
The details pertaining to the John Earl Bragg, including its address, specialty, and other relevant information, were last refreshed on 2018-04-16.
NPI Number: 1215930425
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