Bagley Orthopedic Trauma & Sports Medicine LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

45154 Issued in CO

Legal business name

BAGLEY ORTHOPEDIC TRAUMA & SPORTS MEDICINE LLC

Practice address

15378 Spruce St
Broomfield, CO 80023-8779

Phone

(303) 888-5020

Fax

(303) 469-6793

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Michael C Bagley, DO

Title

Owner

Phone

(303) 888-5020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7584/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1952641367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 W 72ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305137",
            "telephone_number": "303-888-5020",
            "fax_number": "303-469-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15378 SPRUCE ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238779",
            "telephone_number": "303-888-5020",
            "fax_number": "303-469-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGLEY ORTHOPEDIC TRAUMA & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-888-5020",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "45154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89103769",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awareness Collaborative
• Awareness Collaborative PLLC
• Ellyn Ann Ayervais, PA-C
• Robin A Bach, PT, DPT
• Mary Backes
• Hayley Ann Bagwell, CNIM
• Megan Ann Bahnson
• Meghan Bailey
• Emily Jane Baker, O.D.
• Savanah Brieann Baker, LMT

• Orthopaedic Surgery Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.