Winifred Diane Bragg, MD
Physical Medicine & Rehabilitation, Pain Medicine in Norfolk, VA. Individual provider (NPI-1).
NPI number1679543078
StatusActive
Last updated in NPPESJun 1, 2012
Details
- NPI
- 1679543078
- Entity type
- Individual (NPI-1)
- Name
- Ms. Winifred Diane Bragg
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2006
- Last updated
- Jun 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 0101052700 | VA | Yes |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 0101052700 | VA | |
| 208100000X | Physical Medicine & Rehabilitation | 0101052700 | VA | |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 0101052700 | VA |
Practice location
6160 Kempsville CirSte 303a
Norfolk, VA 23502-3933
Phone 757-333-3360 · Fax 757-961-8093
Mailing address
6160 Kempsville CirSuite 303a
Norfolk, VA 23502-3933
Phone 757-333-3360 · Fax 757-961-8093
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