Organization Active NPI

Philip Bagenski, M.D.,P.a.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1194962134
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77670 Issued in FL
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

Updated by the provider on Feb 1, 2010

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.NPI 1811984818
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.