Organization Active NPI

CHB Medical, PLLC

  • Neurology Physician
  • New York, NY
National Provider Identifier
1326299793
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
132024 Issued in NY
Legal business name
CHB MEDICAL, PLLC
Practice address
777 W End Ave
Suite 1 B
New York, NY 10025-5551
Phone
(212) 280-7774
Fax
(212) 280-7775
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Dr. Charles Herbert Bagley, M.D.
Title
President
Phone
(212) 280-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 132024 NY Primary

Addresses

Primary practice location

777 W End Ave
Suite 1 B
New York, NY 10025-5551

Mailing address

777 W End Ave
Suite 1 B
New York, NY 10025-5551
Phone (212) 280-7774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1326299793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W END AVE",
            "address_2": "SUITE 1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255551",
            "telephone_number": "212-280-7774",
            "fax_number": "212-280-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W END AVE",
            "address_2": "SUITE 1 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255551",
            "telephone_number": "212-280-7774",
            "fax_number": "212-280-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHB MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-280-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "132024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.