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

Mr. Paul L. Bragg Jr., PA

Individual provider Physician Assistant · NPI 1356432280

Mr. Paul L. Bragg Jr., PA is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2001, 25 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
25
Licensed in
NC
In the registry since
2006
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

1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone: (910) 615-3350
Fax: (910) 321-6253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-3350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001005108 (NC)

Record details

NPI number1356432280
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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