NPI 1164430856 · live from the CMS NPI Registry
Gwynne A Bragdon, M.D.
Orthopaedic Surgery in Middletown, RI. National Provider Identifier 1164430856, active.
NPI record
| NPI | 1164430856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 345 Valley Rd, Middletown, RI 02842 |
| Practice phone | 401-380-1188 |
| Mailing address | Po Box 1119, Providence, RI 02901 |
| Enumerated | August 4, 2006 |
| Last updated | February 8, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | MD434563 (PA) |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | MD12438 (RI) |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | MD434563 (PA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Orthopaedic Surgery primary | 207X00000X | MD12438 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.