SHANE EDWARD BRAGG — NPI 1548868474 (Licensed & Credentialed Technician, Personal Care Attendant in SHADY SPRING, WV)

CMS-1500 Box 24J / 33a • NPI

1548868474

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

3747P1801X

Licensed & Credentialed Technician, Personal Care Attendant

Box 32 Service Location & ZIP+4

1520 IRISH MTN RD, SHADY SPRING, WV, 25918

Official NPPES Practice Location

Practice Phone & Referral Fax

(304) 222-1156

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1548868474 (SHANE EDWARD BRAGG) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1548868474` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHANE EDWARD BRAGG
Plain-English Specialty	Licensed & Credentialed Technician, Personal Care Attendant NUCC Code: `3747P1801X` (Technician, Personal Care Attendant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1520 IRISH MTN RD, SHADY SPRING, WV, 25918
Practice Telephone / Fax	Tel: (304) 222-1156
Administrative Mailing Address	PO BOX 2091, BEAVER, WV, 25813-2091
Enumeration & Last Sync	Enumerated: 2020-10-13 \| CMS Record Updated: 2023-01-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1520 IRISH MTN RD, SHADY SPRING, WV, 25918

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Plain-English Taxonomy & CMS Crosswalk (3747P1801X)

What Does Taxonomy Code 3747P1801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747P1801X translates to:
"Licensed & Credentialed Technician, Personal Care Attendant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician, Personal Care Attendant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHANE EDWARD BRAGG)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SHANE EDWARD BRAGG (NPI #1548868474)