Michael Walter Bragg Sr, CDCA/CPRS is a
Peer Specialist based in Dayton, Ohio. Michael Walter Bragg Sr is licensed to practice in Ohio (license number APS.004519) and his current practice location is
2611 Wayne Ave Bldg 64, Dayton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 256-7801.
NPI number for Michael Walter Bragg Sr is 1821889452 and his current mailing address is 2125 Sidneywood Dr Apt E, Dayton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821889452.
Healthcare Provider's Profile
| Full Name | Michael Walter Bragg Sr |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2611 Wayne Ave Bldg 64, Dayton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821889452
- Provider Enumeration Date: 05/14/2025
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Michael Walter Bragg Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821889452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.188453 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | APS.004519 (Ohio) | 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. Michael Walter Bragg Sr 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 |
|---|
Michael Walter Bragg Sr, CDCA/CPRS
2125 Sidneywood Dr Apt E,
Dayton, OH 45449-2671
Ph: () - | Michael Walter Bragg Sr, CDCA/CPRS
2611 Wayne Ave Bldg 64,
Dayton, OH 45420-1833
Ph: (937) 256-7801 |
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