JACK DWAYNE BRAGG DO
NPI 1003865239
Internal Medicine - Gastroenterology in Columbia, MO

Q: What is Jack Bragg's NPI number?

The NPI number for Jack Bragg is 1003865239. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Q: What is Jack Bragg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jack Bragg was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2006PECOS Enrolled

ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 884-8445(573) 884-5318 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2024, Apr 18, 2019, May 7, 2018 (3 updates tracked since 2018).

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About Jack Dwayne Bragg Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK DWAYNE BRAGG DO (NPI 1003865239) is an individual gastroenterology provider in Columbia, Missouri, licensed in Missouri (R5C31) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1981).

NPPES Registry Identity

NPI1003865239

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJACK DWAYNE BRAGGCredential: DO

Location AddressONE HOSPITAL DRColumbia, MO 65212-0001

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-8445

Fax(573) 884-5318

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1981

Enumeration DateMay 6, 2006

Last NPPES UpdateJune 11, 20243 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1003865239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · R5C31

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

ONE HOSPITAL DR, Columbia, MO 65212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Dwayne Bragg Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375640790

PECOS Enrollment IDI20070521000088

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI A MYLENBUSCH CRNA

Nurse Anesthetist, Certified Registered