Brianne Bagwell, M.D.

Individual provider Active NPI Family Medicine Physician · Salem, OH

NPI 1730435975 · NPPES record last updated Jan 30, 2026

Key facts

NPI
1730435975
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
35.125307 (OH)
Practice address
718 E 3Rd St
Salem, OH 44460-2915
Phone
(330) 639-0880
Fax
(877) 569-1798
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Family Care LLC (5 clinicians)

Practice addresses (Care Compare)

718 E 3Rd St
Salem, OH 44460-2915
Phone (330) 639-0880

Hospital & facility affiliations

  • Expand Health Skilled at Home LLC Home health agency · Youngstown, OH · CCN 369312
  • Patriot Homecare, Inc Home health agency · Girard, OH · CCN 368406
  • Salem Regional Medical Center Hospital · Salem, OH · CCN 360185
  • HMHP St Elizabeth Boardman Health Center Hospital · Boardman, OH · CCN 360276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150922003034 OH Practitioner - Family Practice 5597072686 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.125307OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Family Care LLC Family Medicine Current
since May 1, 2024
Accepting new patients

Locations

718 E 3rd St
Salem, OH 44460
Phone (330) 333-8990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFEEDD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.125307 OH Yes

Addresses

Primary practice location

718 E 3Rd St
Salem, OH 44460-2915

Mailing address

718 E 3Rd St
Salem, OH 44460-2915
Phone (330) 639-0880

Other identifiers

IdentifierTypeStateIssuer
0122899MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2026.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1730435975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E 3RD ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602915",
            "telephone_number": "330-639-0880",
            "fax_number": "877-569-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E 3RD ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602915",
            "telephone_number": "330-639-0880",
            "fax_number": "877-569-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "BRIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.125307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122899",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

All providers in Salem, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.