Dr Russell M Bragg Jr, PHD is a
Psychologist based in Kingston, Washington. Dr Russell M Bragg Jr is licensed to practice in Washington (license number PY00001741) and his current practice location is
9840 Kingston Farm Rd Ne, Kingston, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 509-1474.
NPI number for Dr Russell M Bragg Jr is 1558442152 and his current mailing address is 9840 Kingston Farm Rd Ne, Kingston, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558442152.
Healthcare Provider's Profile
Full Name | Dr Russell M Bragg Jr |
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Gender | Male |
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Speciality | Psychologist |
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Location | 9840 Kingston Farm Rd Ne, Kingston, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558442152
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/21/2014
Medical Identifiers
Medical identifiers for Dr Russell M Bragg Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558442152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY00001741 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Russell M Bragg Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Russell M Bragg Jr, PHD 9840 Kingston Farm Rd Ne, Kingston, WA 98346-8621 Ph: (360) 509-1474 | Dr Russell M Bragg Jr, PHD 9840 Kingston Farm Rd Ne, Kingston, WA 98346-8621 Ph: (360) 509-1474 |
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