Bagley, Brendon D

Bagley, Brendon D is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bagley, Brendon D can be contacted via phone (718) 283-6000.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (718) 283-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A143217 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A143217 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 275244 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1669761862
LBN Legal business name Bagley, Brendon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Sep 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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