Organization Active NPI

Richard a Bagby Jr MD PC

  • Orthopaedic Surgery Physician
  • Winchester, TN
National Provider Identifier
1629246996
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD011925 Issued in TN
Legal business name
RICHARD A BAGBY JR MD PC
Practice address
183 Hospital Rd
Suite G
Winchester, TN 37398-2471
Phone
(931) 580-2437
Fax
(931) 967-8119
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Richard A. Bagby Jr., M. D.
Title
President
Phone
(931) 580-2437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD011925 TN Primary

Addresses

Primary practice location

183 Hospital Rd
Suite G
Winchester, TN 37398-2471

Mailing address

183 Hospital Rd
Suite G
Winchester, TN 37398-2471
Phone (931) 580-2437

Other identifiers 1

IdentifierTypeStateIssuer
2009891OtherTNBLUE CROSS TN

National Provider Directory

National Provider Directory

Locations

183 Hospital Rd
Ste G
Winchester, TN 37398
Phone (931) 580-2437

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1629246996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "SUITE G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982471",
            "telephone_number": "931-580-2437",
            "fax_number": "931-967-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HOSPITAL RD",
            "address_2": "SUITE G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982471",
            "telephone_number": "931-580-2437",
            "fax_number": "931-967-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A BAGBY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "BAGBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-580-2437",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD011925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TN",
            "identifier": "2009891",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.