Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. RICKY WAYNE BRAGG JR.
Active
Individual
MR. RICKY WAYNE BRAGG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP00056294
WA
164X00000X
Licensed Vocational Nurse
Primary
186791
TX
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up