Active NPI
Philip Bagenski, M.D.,P.a.
- Internal Medicine Physician
- Clearwater, FL
National Provider Identifier
1194962134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME77670
- Legal business name
- PHILIP BAGENSKI, M.D.,P.A.
- Practice address
- 1012 Druid Rd E
Suite 100
Clearwater, FL 33756-5606 - Phone
- (727) 441-8133
- Fax
- (727) 441-8224
- NPI assigned
- Jan 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Franklin Bagenski, M.D.
- Title
- Ceo
- Phone
- (727) 441-8133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME77670 | FL | Primary |
Addresses
Primary practice location
1012 Druid Rd E
Suite 100
Clearwater, FL 33756-5606
Mailing address
1012 Druid Rd E
Suite 100
Clearwater, FL 33756-5606
Phone (727) 441-8133
National Provider Directory
National Provider DirectoryLocations
1012 Druid Rd E
Ste 100
Clearwater, FL 33756
Phone (727) 443-4242
1220 Turner St
Ste F
Clearwater, FL 33756
Phone (727) 412-8294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Palm Harbor, FL
- NPI 1811984818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264982400000",
"number": "1194962134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 DRUID RD E",
"address_2": "SUITE 100",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565606",
"telephone_number": "727-441-8133",
"fax_number": "727-441-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 DRUID RD E",
"address_2": "SUITE 100",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565606",
"telephone_number": "727-441-8133",
"fax_number": "727-441-8224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP BAGENSKI, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-13",
"last_updated": "2010-02-01",
"status": "A",
"authorized_official_last_name": "BAGENSKI",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-441-8133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME77670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.