IndividualActive
Billy Bragg
NPI 1144376732 · Medical Physician Assistant · Bridgeport, WV
Provider details
- NPI number
- 1144376732
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000554 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
215 W Main St
Bridgeport, WV 26330-1748
Phone: (304) 842-6645
Fax: (304) 842-4909
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 1 Box 359a
Mount Clare, WV 26408-9731
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.