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OIG exclusion detail

BILLY BRAGG

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1144376732
Name
BILLY JOE BRAGG
Address
RR1, BOX 359A, MOUNT CLARE, WV, 26408
Specialty
PHYSICIAN ASSISTANT
Exclusion type
1128b4
Exclusion date
20100819
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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