Bragg, Larry E

Bragg, Larry E is an individual health care provider with primary practice located at 3515 30Th Ave , Kearney NE 68845-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bragg, Larry E can be contacted via phone (308) 865-2670.

Contact Information

Primary practice address
3515 30Th Ave Kearney NE 68845-2298
Phone: (308) 865-2670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17428 Nebraska

Profile Details

NPI number 1619051414
LBN Legal business name Bragg, Larry E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jan 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619051414 NPPES
Other 00403 BCBS
MEDICAID 47064194502 BCBS

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