Individual ProviderDonna BraggNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5609 N Everest Ave, Oklahoma City, OK 73111-6729(405) 208-9621PECOS EnrollmentBased on the most recent information from CMS, provider Donna Bragg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 7:33 AM.Profile DetailsProvider ID1619326238Provider TypeIndividualFull NameBragg, DonnaCredentialAPRN-CNPGenderFemaleSole ProprietorNoEnumeration Date6/4/2016Last Updated6/4/2016Contact InformationPractice LocationPractice Address5609 N Everest Ave, Oklahoma City, OK 73111-6729Phone(405) 208-9621FaxUnlisted FaxMailing LocationMailing Address5609 N Everest Ave, Oklahoma City, OK 73111-6729Phone(405) 208-9621FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense72355Oklahoma