Bagley Medical Supply LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BAGLEY MEDICAL SUPPLY LLC

Doing business as

Genepace Solutions

Practice address

316 S Rangeline Rd
Carmel, IN 46032-2116

Phone

(463) 999-9877

NPI assigned

Sep 21, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Kunkle

Title

President

Phone

(317) 517-7000

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Genepace Solutions Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1972226371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460740004",
            "telephone_number": "317-517-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322116",
            "telephone_number": "463-999-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGLEY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "KUNKLE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-517-7000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "15D2213525",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@bagleymedical.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "316 S Rangeline Rd",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460322116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Genepace Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genepace Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Bachman, PTA
• Back in Motion
• Lauren G Back
• Sandra E Bacon, DDS
• Jacqueline Nicole Baginski, PHARMD
• Clinton David Bahler, MD
• Courtney L. Baidinger, MA, CCC-SLP
• Usman Baig, PHARMD, RPH
• Anna Bailey
• Cory Jo Bailey, PTA

• Clinical Medical Laboratory in Carmel, IN
• Providers in Carmel, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.