Active NPI
Bagwell Elite Hospitalists PLLC
- Hospitalist Physician
- Las Vegas, NV
National Provider Identifier
1902391162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- NV20181459053
- Legal business name
- BAGWELL ELITE HOSPITALISTS PLLC
- Practice address
- 150 E Harmon Ave
Las Vegas, NV 89109-4533 - Phone
- (702) 546-0911
- Fax
- (281) 503-7525
- NPI assigned
- Jun 28, 2018
- Last updated
- Jun 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon Bagwell, MD
- Title
- Manager
- Phone
- (936) 499-2445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NV20181459053 | NV | Primary |
Addresses
Primary practice location
150 E Harmon Ave
Las Vegas, NV 89109-4533
Mailing address
PO Box 190
New Waverly, TX 77358-0190
Phone (936) 499-2445
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530144000000",
"number": "1902391162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "NEW WAVERLY",
"state": "TX",
"postal_code": "773580190",
"telephone_number": "936-499-2445",
"fax_number": "281-503-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E HARMON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891094533",
"telephone_number": "702-546-0911",
"fax_number": "281-503-7525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAGWELL ELITE HOSPITALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-28",
"last_updated": "2018-06-28",
"status": "A",
"authorized_official_last_name": "BAGWELL",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "936-499-2445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "NV20181459053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.