NPIMap

Organization Active NPI

Archipoimen PLLC

Doing business as Bagwell Medical Clinic

  • Clinic/Center
  • Hernando, MS
National Provider Identifier
1881119618
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARCHIPOIMEN PLLC
Doing business as
Bagwell Medical Clinic
Practice address
2416 Mount Pleasant Rd
Hernando, MS 38632-2001
Phone
(662) 560-5966
NPI assigned
Aug 14, 2017
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Michael Brian Bagwell, DONPI 1558306019
Title
Sole Member
Phone
(662) 422-1798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2416 Mount Pleasant Rd
Hernando, MS 38632-2001

Mailing address

2416 Mount Pleasant Rd
Hernando, MS 38632-2001
Phone (662) 560-5966

Other practice location 1

2670 McIngvale Rd Ste H
Hernando, MS 38632-8695
Phone (662) 560-6966

Other names 1

  • Bagwell Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523000812 MS Part B Supplier - Clinic/Group Practice 7113282161 Receives reassigned benefits from 9 practitioners
Practice locations: Hernando, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1881119618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 MOUNT PLEASANT RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322001",
            "telephone_number": "662-560-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 MOUNT PLEASANT RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322001",
            "telephone_number": "662-560-5966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 McIngvale Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "MS",
            "postal_code": "386328695",
            "country_code": "US",
            "telephone_number": "662-560-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHIPOIMEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "662-422-1798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bagwell Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.