MS. BEVERLY BAGDORF NP NPI 1134256126

NPI Information

NPI: 1134256126
Provider Name: MS. BEVERLY BAGDORF, NP
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
1001 POTRERO AVE # 1M
GENERAL MEDICAL CLINIC
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 206-8494
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MS. Beverly Bagdorf, NP is an ambulatory care registered nurse in San Francisco, CA. MS. Beverly Bagdorf, NP NPI is 1134256126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 POTRERO AVE # 1M
GENERAL MEDICAL CLINIC
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (415) 206-8494
Fax: (415) 206-6115

The enumeration date for this NPI number is 2/27/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP2201X	Registered Nurse	Ambulatory Care	RN206859	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	NPF10513	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	984955	OTHER		SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
2	NPXUXU	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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