Brian Bagby
Individual provider Active NPI Case Manager/Care Coordinator · Tullahoma, TN
NPI 1881010080 · NPPES record last updated Mar 12, 2014
Key facts
- NPI
- 1881010080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 709 Davidson St
Tullahoma, TN 37388-3607 - Phone
- (931) 393-5900
- NPI assigned
- Mar 12, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
709 Davidson St
Tullahoma, TN 37388-3607
Mailing address
709 Davidson St
Tullahoma, TN 37388-3607
Phone (931) 393-5900
Other providers in Tullahoma, TN
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- Jessica Ashley
- Megan Ashley
- Lauren Muse Askins
- Carrie A Askren
- Kimberly Jean Baker
- Linda Ann Baker
- Robin Matlock Baker
- Sarah Renee Baker
- Ashley Baldwin
All providers in Tullahoma, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.