1602 N 2ND ST
CLINTON, MO 64735-1192 US PECOS Enrolled
Overview
Brendan Bagley is a Family Medicine Physician in the CLINTON area and has over 23 years of experience. Brendan Bagley primary office location is at 1602 N 2ND ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2001
Brendan Bagley is affiliated with three hospitals in the CLINTON area, including . The NPI number is 1043258650 and the information was updated approximately 3 years ago.
Brendan Bagley is affiliated with one medical group in the CLINTON area, GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 2008018535 | MO |
| 36115421 | IL |
| Board Certifications |
|---|
| Family Medicine |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | MO | Y |
| Family Medicine Physician - Taxonomy Code 207Q00000X | IL | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20080805000712 |
| PECOS Individual PAC ID: | 7911071246 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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