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SHANE EDWARD BRAGG
NPI 1548868474
Technician - Personal Care Attendant in Shady Spring, WV

Active since October 13, 2020
1520 IRISH MTN RD, SHADY SPRING, WV 25918(304) 222-1156 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2023, Oct 13, 2020 (2 updates tracked since 2020).

About Shane Edward Bragg NPPES

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

SHANE EDWARD BRAGG (NPI 1548868474) is an individual personal care attendant in Shady Spring, West Virginia and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1548868474
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameSHANE EDWARD BRAGG
Location Address1520 IRISH MTN RDShady Spring, WV 25918
Mailing AddressPo Box 2091Beaver, WV 25813-2091 · (304) 222-1156
Phone(304) 222-1156
Sole ProprietorNo
Enumeration DateOctober 13, 2020
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1548868474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

1520 IRISH MTN RD, Shady Spring, WV 25918
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Frequently Asked Questions

What is Shane Bragg's NPI number?

The NPI number assigned to this healthcare provider is 1548868474, enumerated as an "individual" on October 13, 2020.

Where is the provider located?

The provider is located at 1520 IRISH MTN RD SHADY SPRING, WV 25918 and the phone number is (304) 222-1156.

What is the provider's specialty?

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.