DR. BRENDON D BAGLEY M.D. NPI 1669761862

NPI Information

NPI: 1669761862
Provider Name: DR. BRENDON D BAGLEY, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
101 BODIN CIR
TRAVIS AFB, CA
ZIP 94535
Phone: (718) 283-6000
Get Directions

DR. Brendon D Bagley, M.D. is a vascular and interventional radiology radiology in Travis Afb, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Brendon D Bagley, M.D. NPI is 1669761862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 BODIN CIR
TRAVIS AFB, CA
ZIP 94535-809
Phone: (718) 283-6000

The NPI 1669761862 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 9/23/2021.

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	2085R0202X	Radiology	Diagnostic Radiology	A143217	CALIFORNIA	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	A143217	CALIFORNIA	Yes
3	208D00000X	General Practice		275244	NEW YORK	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No

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: 5/5/2024

NPI Synchronization or Removal

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