Organization Active NPI

Bagwell Elite Hospitalists PLLC

  • Hospitalist Physician
  • Las Vegas, NV
National Provider Identifier
1902391162
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
NV20181459053 Issued in NV
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.