Organization Active NPI

David L. Bagnall MD PC

  • Specialist
  • Amherst, NY
National Provider Identifier
1518140490
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1993971 Issued in NY
Legal business name
DAVID L. BAGNALL MD PC
Practice address
3980 Sheridan Dr
Building a Suite 102
Amherst, NY 14226-1727
Phone
(716) 250-6545
Fax
(716) 250-6566
NPI assigned
Dec 13, 2007
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
David L Bagnall, MDNPI 1942298104
Title
President
Phone
(716) 250-6454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1993971 NY Primary

Addresses

Primary practice location

3980 Sheridan Dr
Building a Suite 102
Amherst, NY 14226-1727

Mailing address

3980 Sheridan Dr
Building a Suite 102
Amherst, NY 14226-1727
Phone (716) 250-6545

National Provider Directory

National Provider Directory

Locations

3980 Sheridan Dr
#102A
Amherst, NY 14226
Phone (716) 250-6545

3980 Sheridan Dr
Bldg A
Amherst, NY 14226
Phone (716) 218-1010

6000 Brockton Dr
Lockport, NY 14094
Phone (716) 439-0345

620 10th St
Niagara Falls, NY 14301
Phone (716) 278-4000

6934 Williams Rd
Ste 700
Niagara Falls, NY 14304
Phone (716) 298-1263

180 Park Club Ln
#125
Williamsville, NY 14221
Phone (716) 250-6545

180 Park Club Ln
Ste 125
Williamsville, NY 14221
Phone (716) 250-6545

325 Essjay Rd
Ste 305
Williamsville, NY 14221
Phone (716) 631-3555

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1518140490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "BUILDING A SUITE 102",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-6545",
            "fax_number": "716-250-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "BUILDING A SUITE 102",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-6545",
            "fax_number": "716-250-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. BAGNALL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "BAGNALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-250-6454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1993971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.