Bagley, Brent Alan

Bagley, Brent Alan is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Bagley, Brent Alan can be contacted via phone (317) 944-8660.

Contact Information

Primary practice address
550 University Blvd Indianapolis IN 46202-5149
Fax: (317) 968-1012
Website:

Health care specialties

Profile Details

NPI number 1447788948
LBN Legal business name Bagley, Brent Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2017
Last updated Aug 9th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447788948 NPPES
Indiana Other 264910405 MEDICARE PTAN
Indiana MEDICAID 300066502 MEDICARE PTAN

Popular Providers