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

Micah Neal Bragdon, PA

Individual provider Surgical Physician Assistant · NPI 1710736541

Micah Neal Bragdon, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2024, 2 years ago. Practices with Ephraim McDowell Health Resource Inc, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1000 S Limestone
Lexington, KY 40536-0298
Phone: (859) 323-5901
Fax: (859) 323-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 217 S 3rd St, Danville, KY 40422-1823 — (859) 239-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3433 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3433 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3433 (KY)

Record details

NPI number1710736541
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ephraim McDowell Health Resource Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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