Kerri Bagnall, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR45089 Issued in CO

Practice address

402 N Tejon St
Suite 200
Colorado Springs, CO 80903-1142

Phone

(719) 633-3850

Fax

(719) 227-0840

NPI assigned

Aug 30, 2005

Sex

Female

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3715/brand/1/csg/1/fhir/r4

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.

• Iron Horse Pediatrics

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1477793578
  NPD (past) Authorized official
• Iron Horse Pediatrics

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1225624513
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1891788303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N TEJON ST",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031142",
            "telephone_number": "719-633-3850",
            "fax_number": "719-227-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N TEJON ST",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031142",
            "telephone_number": "719-633-3850",
            "fax_number": "719-227-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNALL",
        "first_name": "KERRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR45089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11820314",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Baer, MD
• Noah Baer
• Wendy Suzanne Baerren, RNC
• Jennifer Marie Bagford, MSW
• Rebecca Baggett, LMT
• Carmen Bagneris
• Daniel P Bagwell, LMT
• Jessie Elizabeth Bagwell
• Cinthya Bahamonde
• Elena L Bahena, FNP

• Pediatrics Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.