JACQUELINE CLAIRE BRAGUNIER PA-C
NPI 1467595348
Physician Assistant - Medical in Waldorf, MD

Active since February 14, 2007PECOS Enrolled
3500 OLD WASHINGTON RD, 101, WALDORF, MD 20602(301) 645-1133(301) 645-2369 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2020, Jul 17, 2017 (2 updates tracked since 2017).

About Jacqueline Claire Bragunier Pa-c NPPES

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

JACQUELINE CLAIRE BRAGUNIER PA-C (NPI 1467595348) is an individual medical provider in Waldorf, Maryland, licensed in Maryland (C0003956) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467595348
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACQUELINE CLAIRE BRAGUNIERCredential: PA-C
Location Address3500 OLD WASHINGTON RD, 101Waldorf, MD 20602
Mailing Address4823 43rd Pl NwWashington, DC 20016-4501 · (313) 729-5797
Fax(301) 645-2369
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
NPI 1467595348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C0003956
3500 OLD WASHINGTON RD, Waldorf, MD 20602

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacqueline Claire Bragunier Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Internal Medicine (Rheumatology)
3500 OLD WASHINGTON RD, SUITE 202
WALDORF, MD 20602
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Dentist (General Practice)
3500 OLD WASHINGTON RD, #204
WALDORF, MD 20602
Nurse Practitioner (Pediatrics)
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, STE 102
WALDORF, MD 20602
Internal Medicine (Hematology & Oncology)
3500 OLD WASHINGTON RD, SUITE 102
WALDORF, MD 20602
Pediatrics
3500 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Clinic/Center (Ambulatory Surgical)
3500 OLD WASHINGTON RD, SUITE 302
WALDORF, MD 20602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Bragunier's NPI number?

The NPI number for Jacqueline Bragunier is 1467595348. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Jacqueline Bragunier located?

Jacqueline Bragunier practices at 3500 Old Washington Rd 101, Waldorf, MD 20602. The listed phone number is (301) 645-1133.

What is Jacqueline Bragunier's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacqueline Bragunier enrolled in Medicare?

Yes. Jacqueline Bragunier is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Bragunier was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.