Active NPI
CHB Medical, PLLC
- Neurology Physician
- New York, NY
National Provider Identifier
1326299793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 132024
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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 DirectoryNPI 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.