NPI 1093921025 · live from the CMS NPI Registry
Jennifer Woodbury Bragg, M.D.
Dermatology in Portland, ME. National Provider Identifier 1093921025, active.
NPI record
| NPI | 1093921025 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 50 Sewall Street, Portland, ME 04102 |
| Practice phone | 207-775-3526 |
| Enumerated | May 15, 2007 |
| Last updated | July 11, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 017459 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.