Tracy Glen Bagwell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AL1224 Issued in AL

Practice address

2227 Drake Avenue
Suite 13
Huntsville, AL 35805

Phone

(256) 880-8833

Fax

(256) 880-8838

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bagwell Chiropractic

  • Chiropractor
  • Huntsville, AL
  • NPI 1154834067
  NPD (past) Authorized official
• Healthsource Huntsville-the Rocket City LLC

  • Rehabilitation Chiropractor
  • Huntsville, AL
  • NPI 1477258275
  NPD
• HS of Hartselle LLC

  • Chiropractor
  • Hartselle, AL
  • NPI 1578252284
  NPD
• Health Source Madison PC

  • Chiropractor
  • Madison, AL
  • NPI 1932841616
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821028325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVENUE",
            "address_2": "SUITE 13",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35805",
            "telephone_number": "256-880-8833",
            "fax_number": "256-880-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 DRAKE AVENUE",
            "address_2": "SUITE 13",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35805",
            "telephone_number": "256-880-8833",
            "fax_number": "256-880-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "TRACY",
        "middle_name": "GLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "AL1224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "71286",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Stephen Baggett, M.D.
• Dane W Bagley, O.D.
• Sam Bagley, M.D.
• Bagwell Chiropractic
• Debbie G Bagwell, LPTA
• Farshad Michael Bahador, M.D.
• Bailey Cove Eye Care, P.C.
• Bailey Cove Family Physicians
• Bailey Cove Pharmacy
• Bailey Cove Speech Therapy

• Chiropractor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.