Michael Clark Bagley Co

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DR45154 Issued in CO

Legal business name

MICHAEL CLARK BAGLEY CO

Practice address

1860 E Egbert St
Suite 100
Brighton, CO 80601-2475

Phone

(303) 655-3003

Fax

(303) 655-3005

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Michael C. Bagley, D.O.

Title

D.O.

Phone

(303) 655-3003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194863449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 E EGBERT ST",
            "address_2": "SUITE 100",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012475",
            "telephone_number": "303-655-3003",
            "fax_number": "303-655-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 E EGBERT ST",
            "address_2": "SUITE 100",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012475",
            "telephone_number": "303-655-3003",
            "fax_number": "303-655-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CLARK BAGLEY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "303-655-3003",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR45154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.