Individual provider Active NPI

Michael Robert Bagner, MD

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1851352454
Registry record updated Oct 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91855 Issued in FL
Practice address
1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413
Phone
(561) 257-3544
Fax
(561) 828-5778
NPI assigned
Mar 31, 2006
Last updated
Oct 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 188015 NY
Internal Medicine Physician 207R00000X ME91855 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413

Mailing address

1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413
Phone (917) 855-9867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050309001068 NY Practitioner - Internal Medicine 4587618715 Reassigns benefits to 1 organization
I20260527001692 FL Practitioner - Internal Medicine 4587618715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188015NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Sep 15, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

50 W 77th St
New York, NY 10024
Phone (212) 579-6000

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

780 8th Ave
New York, NY 10036
Phone (212) 641-4000

780 8th Ave
Ste 303
New York, NY 10036
Phone (212) 641-4500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1851352454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 8000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013413",
            "telephone_number": "917-855-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 8000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013413",
            "telephone_number": "561-257-3544",
            "fax_number": "561-828-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-10-18",
        "certification_date": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "188015",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.