Brent Alan Bagley, MD
Individual provider Active NPI Pulmonary Disease Physician · Indianapolis, IN
NPI 1447788948 · NPPES record last updated Mar 8, 2025
Key facts
- NPI
- 1447788948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 01083598A (IN)
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (888) 484-3258
- NPI assigned
- May 27, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Indiana University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Eskenazi Health
- Indiana University Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230516002919 | IN | Practitioner - Pulmonary Disease |
3870862832 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Current |
Accepting new patients |
Locations
7301 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- bbagley@direct.iuhealth.org
- bbagley41410@direct.eskenazihealth.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01083598A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01083598A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11019260A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 01083598A | IN | Yes |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (877) 668-5621
Other practice location 1
1120 W Michigan St # Cl626
Indianapolis, IN 46202-5209
Phone (317) 278-2686
Other practice location 2
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 944-8660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264910405 | Other | IN | MEDICARE PTAN |
| 300066502 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbagley@direct.iuhealth.org | Direct | |
| Direct Messaging Address | babagley@iu.edu |
Other providers in Indianapolis, IN
- Luz Virginia Baez
- Scarlet Abigail Baez
- Stephanie Bagato
- Shelby Bagby
- Yaser Baghdadi
- Asia Bagwell
- Casey Ann Bagwell
- Todd Bagwell
- Aissata Nazeck Bah
- Salma Bah
All providers in Indianapolis, IN · Pulmonary Disease Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.