ANDREW BAGLEY


Address: 2500 Warren Caroll Drive, Raleigh, NC 27695-0001
Phone: 9195153065

ANDREW BAGLEY (NPI# 1578088316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578088316
Entity Type Individual
Full Name ANDREW BAGLEY
Credential LAT, ATC
Practice Address 2500 Warren Caroll Drive
Raleigh
NC 27695-0001
Mailing Address 3950 Fairsted Dr Apt 322
Raleigh
NC 27612-4551
Practice Telephone 9195153065
Enumeration Date 2017-08-12
Last Update Date 2017-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PS0010X Emergency Medicine
Specialization: Sports Medicine
LAT-3124 NC Allopathic & Osteopathic Physicians

Other Providers ANDREW BAGLEY

NPI Name Taxonomy Address Enumeration
1104259860 Andrew R Bagley Social Worker 1720 W Florist Ave Ste 125, Glendale, WI 53209-3862 2013-08-16
1306197983 Andrew Joshua Bagley Dentist 913 27th Ave, Greeley, CO 80634-5808 2012-09-24

Office Location

Street Address 2500 WARREN CAROLL DRIVE
City RALEIGH
State NC
Zip Code 27695-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760911150 Joy Bataille Pharmacist 2815 Cates Avenue, Raleigh, NC 27695 2017-06-08
1992334247 Brianne Lawton Specialist/Technologist 1 Reynolds Coliseum, Raleigh, NC 27695-0001 2020-04-07
1164065827 Whitney Beth Griffin Psychologist 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 2019-10-24
1023523552 Soo Young Uhm Dietitian, Registered 2815 Cates Avenue Campus Box 7304, Raleigh, NC 27695-0001 2017-12-06
1184149312 Mianmian Sun Pharmacist 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 2017-08-09
1063952034 Natalie Murr Psychologist 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 2017-02-24
1821413519 Kristen Lyn Mostrom Specialist/Technologist, Other 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 2014-03-04
1457577975 Sasha J Fradin Psychologist Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001 2007-04-17
1699390021 Scott Donald Ensell Specialist/Technologist 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 2020-06-11
1194236588 Suha Najjar Nutritionist 2815 Cates Ave, Raleigh, NC 27695-0001 2017-10-12
Find all providers in zip 27695

Taxonomy Information

Taxonomy Code 207PS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Sports Medicine

Taxonomy Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417596297 Dana Dowell Emergency Medicine 1981 Union Church Rd, Cameron, NC 28326-7957 2019-12-27
1194375808 Colleen Kathryn Rogers Emergency Medicine 1609 Vineyard Mist Dr, Cary, NC 27519-6998 2019-09-14
1538555867 Fairville Oasis, Pllc Emergency Medicine 600 Kensington Dr, Apt 613, Jacksonville, NC 28546-7157 2015-04-14
1508255936 Stephen Digh Jr. Emergency Medicine 7336 Raging Ridge Rd, Harrisburg, NC 28075-7645 2015-01-22
1164661203 Ronald Lynn Williams Emergency Medicine 6631 Ward Blvd, Wilson, NC 27893-5963 2009-02-12
1043460918 Shang-hsien Yuan Emergency Medicine 5150 Western Ave, Morganton, NC 28655-9696 2008-09-26
1518932763 Charles W Stafford Emergency Medicine 412 Channel Ct, Emerald Isle, NC 28593 2006-02-21
1225675358 Nicole Lopez Emergency Medicine 501 N Main St, Louisburg, NC 27549-2399 2019-12-09
1124590070 Amy Linker Kirkman Emergency Medicine 306 E Red Cross Rd, Oakboro, NC 28129-7202 2018-12-17
1497283378 Jessica Renee Webster Emergency Medicine 92 Catamount Rd, Ramsey Center, Cullowhee, NC 28723 2017-05-23
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Competitor

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City RALEIGH
Zip Code 27695

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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