Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DELORICE BRAGG
NPI 1073423604
Registered Nurse in Logan, WV

Q: What is Delorice Bragg's NPI number?

The NPI number for Delorice Bragg is 1073423604. It was assigned to this individual provider in the NPPES registry on September 8, 2026.

Q: What is Delorice Bragg's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Delorice Bragg was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 September 08, 2026

174 LMAH CENTER RD, LOGAN, WV 25601(304) 792-7130(304) 896-5184 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Delorice Bragg NPPES

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

DELORICE BRAGG (NPI 1073423604) is an individual registered nurse in Logan, West Virginia, licensed in West Virginia (48950) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1073423604

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameDELORICE BRAGG

Location Address174 LMAH CENTER RDLogan, WV 25601-4058

Mailing AddressPo Box 176Logan, WV 25601-0176 · (304) 792-7130 · Fax (304) 792-7130

Phone(304) 792-7130

Fax(304) 896-5184

Sole ProprietorNo

Enumeration DateSeptember 8, 2026

NPPES CertifiedSeptember 8, 2026

✔ NPI 1073423604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WV · 48950

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

174 LMAH CENTER RD, Logan, WV 25601

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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.

KATELYN MULLINS

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