NPI 1558306019 · live from the CMS NPI Registry
Michael Brian Bagwell, D.O.
Family Medicine in Senatobia, MS. National Provider Identifier 1558306019, active.
NPI record
| NPI | 1558306019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2778 Highway 51 S, Senatobia, MS 38668 |
| Practice phone | 662-560-5966 |
| Enumerated | June 18, 2006 |
| Last updated | July 1, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 19146 (MS) |
| Family Medicine primary | 207Q00000X | 19146 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.