Individual
JULIE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFOM., CPED
Contact information
Practice address
3824 BARRETT DR STE 102, RALEIGH, NC 27609-7220
Mailing address
3824 BARRETT DR STE 102, RALEIGH, NC 27609-7220
(919) 441-0023
(919) 594-1175
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
224L00000X
Pedorthist
—
—
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046KY
BCBS
NC
05
—
7703875
—
NC
05
—
7795259
—
NC
05
—
7795286
—
NC
Enumeration date
01/08/2007
Last updated
03/28/2022
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