Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Dwayne Bragg, DO

Individual provider Gastroenterology Physician · NPI 1003865239

Jack Dwayne Bragg, DO is a Gastroenterology in Columbia, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1981, 45 years ago. Licensed in Missouri.

Years since qualifying
45
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 884-8445
Fax: (573) 884-5318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence R5C31 (MO)

Record details

NPI number1003865239
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing addressPo Box 843966, Kansas City, MO 64184-3966

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated

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