Sam Bagley, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4341A Issued in WY

Practice address

401 Viduta PL SE
Huntsville, AL 35801-1031

Phone

(256) 714-2684

Fax

(256) 489-7119

NPI assigned

Sep 27, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222473600000",
    "number": "1083864904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 VIDUTA PL SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011031",
            "telephone_number": "256-714-2684",
            "fax_number": "256-489-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VIDUTA PL SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358011031",
            "telephone_number": "256-714-2684",
            "fax_number": "256-489-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "4341A",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "WY",
            "license": "4131A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Wayne Backer, D.M.D.
• Sujatha Baddam
• Jennifer Hope Baggenstoss, PA-C
• Alan Stephen Baggett, M.D.
• Dane W Bagley, O.D.
• Bagwell Chiropractic
• Debbie G Bagwell, LPTA
• Tracy Glen Bagwell, DC
• Farshad Michael Bahador, M.D.
• Bailey Cove Eye Care, P.C.

• Anesthesiology Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.