TYREA D BRAGG OCPRS,
NPI 1245815711
Peer Specialist in Beachwood, OH

Q: What is Tyrea Bragg's NPI number?

The NPI number for Tyrea Bragg is 1245815711. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Q: What is Tyrea Bragg's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyrea Bragg was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 16, 2021

25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122(216) 910-9015(216) 910-9015 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2022, Mar 16, 2021 (2 updates tracked since 2021).

On this page

About Tyrea D Bragg Ocprs, NPPES

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

TYREA D BRAGG OCPRS, (NPI 1245815711) is an individual peer specialist in Beachwood, Ohio, licensed in Ohio (0002260) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1245815711

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTYREA D BRAGGCredential: OCPRS,

Location Address25201 CHAGRIN BLVD STE 390Beachwood, OH 44122-5637

Mailing Address520 E 7th StManchester, OH 45144-1562 · (606) 375-8957

Phone(216) 910-9015

Fax(216) 910-9015

Sole ProprietorYes

Enumeration DateMarch 16, 2021

Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2022

✔ NPI 1245815711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OH · 0002260

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

25201 CHAGRIN BLVD STE 390, Beachwood, OH 44122

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JEFFREY WILKINS

Peer Specialist