DR. CORDELL BRAGG (MD) – Anesthesiology Physician, NPI 1659335115

DR. CORDELL BRAGG (MD) is a healthcare provider. based in Montgomery, Alabama. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 26463 (GA). The NPI Number for DR. CORDELL BRAGG (MD) is 1659335115

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORDELL BRAGG (MD)
NPI
1659335115
Phone
(334) 279-1450
Address
PO BOX 235019
Enumeration Date
13 April 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9122287034
Graduation Year
1983 (43 years ago)
PAC ID
8224198965
Group Practice PAC ID
1759349830
Professional Enrollment ID
I20081125000455
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CORDELL BRAGG (MD)

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361235019

    Phone: (334) 279-1450

    Fax: (334) 279-1660

    Type: Mailing

  • 915, Gordon Avenue, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317926614

    Phone: (229) 228-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081125000455IAnesthesiologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36123)

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Provider's Procedures

DR. CORDELL BRAGG (MD) performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYGA00790Anesthesia for procedure in upper abdomen including use of an endoscope1212
ANESTHESIOLOGYGA01402Anesthesia for open or endoscopic total knee joint replacement1111
ANESTHESIOLOGYGA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759349830View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YFL
-AL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

How do I look up DR. CORDELL BRAGG (MD) by NPI?
Use NPI 1659335115 when you need to reference DR. CORDELL BRAGG (MD) in forms, claims, or directories.
Is DR. CORDELL BRAGG (MD)'s NPI currently valid?
The extract we use shows DR. CORDELL BRAGG (MD) as active.
What field does DR. CORDELL BRAGG (MD) work in?
You can think of DR. CORDELL BRAGG (MD) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CORDELL BRAGG (MD)?
We surface Montgomery, Alabama for DR. CORDELL BRAGG (MD) based on available NPPES addresses.
How can I contact DR. CORDELL BRAGG (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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