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NPI Code Detail

MEDICARE: JULIAN ALEXANDER BRAGG MD, PHD.

MEDICARE: JULIAN ALEXANDER BRAGG MD, PHD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician60801GA

General Provider Information

NPI Number : 1164606018
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIAN ALEXANDER BRAGG MD, PHD.
Provider Business Mailing Address
First Line : 285 BOULEVARD NE STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30312-4212
Country : US
Telephone Number : 404-653-0039
Fax Number : 404-653-0159
Provider Business Practice Location Address
First Line : 285 BOULEVARD NE STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30312-4212
Country : US
Telephone Number : 404-653-0039
Fax Number : 404-653-0159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 02/10/2026

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