Provider Demographics
NPI:1952330110
Name:BRAGG, FRANKLIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:E
Last Name:BRAGG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:43 WHITING HILL ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401
Mailing Address - Country:US
Mailing Address - Phone:207-947-6141
Mailing Address - Fax:207-947-6720
Practice Address - Street 1:302 HUSSON AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3374
Practice Address - Country:US
Practice Address - Phone:207-947-6141
Practice Address - Fax:207-947-6720
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEME6934207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME010211501Medicaid
P00102053OtherRAILROAD PIN
D03705Medicare UPIN
ME010211501Medicaid