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Deactivated NPI 1649278466 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Mark Bragg , MD

Surgery • Stephenville, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Bragg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2005
NPI Deactivation Date June 11, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Bragg, MD was a registered Surgery practicing in Stephenville, TX. Throughout an active medical career spanning 21 years, Dr. Bragg provided care at the practice location at 561 N GRAHAM ST until profile deactivation on 2026-06-11.

Historical Medicare Part B clinical services included new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

561 N Graham St

Stephenville, TX 764013548

Telephone 2549186839
Fax 2549687979
Associated Practice Facility / Clinic
🏢 Larry Bragg Md Pa Facility NPI 1972785640

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Stephenville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Stephenville, TX (2342 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes
11 11 $129.65 $66.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX E6247

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. William Evans , MD

Orthopaedic Surgery

NPI 1033188800

Doctor of Medicine (M.D.)

Alyssa Dejong , PA-C

Physician Assistant - Medical

NPI 1720699242

Physician Assistant (Certified)

Randall Foster , OPA-C, ATC, LAT

Physician Assistant - Surgical

NPI 1811927403

OPAC, Certified Athletic Trainer, Licensed Athletic Trainer

Julie Smith , PA-C

Physician Assistant

NPI 1851984041

Physician Assistant (Certified)

Dr. Nanette Evans , MD

Radiology - Diagnostic Radiology

NPI 1942260872

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

NPI Profile Active October 26, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2007

Registered at 561 N GRAHAM ST, STEPHENVILLE, TX 764013548 (Tel: 2549186839)

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Updated Business Mailing Address October 26, 2007

Registered at 561 N GRAHAM ST, STEPHENVILLE, TX 764013548 (Tel: 2549186839)

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Provider Name / Credentials Updated October 26, 2007

Recorded as LARRY BRAGG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2007

Surgery (License #E6247 in TX)

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Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649278466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2005
Last Update: October 26, 2007
Deactivation Date: June 11, 2026

Mailing Address

561 N Graham St

Stephenville, TX 764013548

Phone: 2549186839

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.