David Bagley, MD
Individual provider Active NPI Psychiatry Physician · Sheridan, AR
NPI 1225159296 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1225159296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- E-5438 (AR)
- Practice address
- 201 S Rose St
Sheridan, AR 72150-2451 - Phone
- (870) 917-2171
- Fax
- (870) 917-2161
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5438 | AR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital | Past |
Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-5438 | AR | Yes |
Addresses
Primary practice location
201 S Rose St
Sheridan, AR 72150-2451
Mailing address
201 S Rose St
Sheridan, AR 72150-2451
Phone (870) 917-2171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191187001 | Medicaid | AR |
Other providers in Sheridan, AR
- Brandi Alcacio
- Chelsea Allen
- Arkansas Health Group
- Arkansas Health Group
- Assisted Care for Seniors
- Meredith Gayle Bailey
- Baptist Health
- Baptist Health
- Shagala Barnett
- Chrystal A Batemon
All providers in Sheridan, AR · Psychiatry Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.