Charles M Bagley Jr., MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

00011260 Issued in WA

Practice address

1235 8TH Ave W
Seattle, WA 98119-3441

Phone

(206) 282-1578

NPI assigned

Mar 12, 2012

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2012.

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1962777862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 8TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193441",
            "telephone_number": "206-282-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 8TH AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193441",
            "telephone_number": "206-282-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "00011260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Bagdon, LMT
• Michael Brendan Bagg, MD
• Jodi Renae Bagge, MA, LMHCA
• Molly K. Baggett, M.D.
• Rana Bagheri, DO
• John R. Bagley, LMP
• Megan Ashley Bagley, SUDP
• Usman Sulaiman Baguda, MD
• Shane Baguyo
• Ahmed A Bah

• All providers in Seattle, WA
• Medical Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.