Active NPI
James Bagley, PA-C
- Medical Physician Assistant
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA056130
- Practice address
- 1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103-6224 - Phone
- (610) 439-8856
- Fax
- (610) 439-1314
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6126 | GA | |
| Physician Assistant | 363A00000X | 0010-00510 | NC | |
| Medical Physician Assistant | 363AM0700X | MA056130 | PA | Primary |
Addresses
Primary practice location
1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103-6224
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355
1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
2100 Mack Blvd
FL 4
Allentown, PA 18103-5622
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
5649 Wynnewood Dr
Laurys Station, PA 18059-1124
Hospital & facility affiliations
- Lehigh Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6126 | GA | MD | Physician Assistant |
| 0010-00510 | NC | MD | Physician Assistant |
| MA056130 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Fastmed Urgent Care PC | Past | Accepting new patients | |
| Central Emergency Physicians, PLLC | Past | Accepting new patients |
Locations
1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- jbagley12040@direct2.lvhn.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Family Medicine Physician
- Pittston, PA
- NPI 1639821689
-
- Emergency Medicine Physician
- Sanford, NC
- NPI 1164694683
-
- Urgent Care Clinic/Center
- Raleigh, NC
- NPI 1225331903
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1003830233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S CEDAR CREST BLVD",
"address_2": "STE 205",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-439-8856",
"fax_number": "610-439-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGLEY",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "6126",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00510",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.