Active NPIIndividual provider

Pauline H Bagatelas, MD

Family Medicine in Pawtucket, Rhode Island

NPI Number1104566082
Practice location
111 Brewster St, Pawtucket, RI 02860-4400
Fax
401-729-2923
Last updated
July 7, 2025

Pauline Helene Lauper Bagatelas is a Family Medicine based in Pawtucket, RI. Pauline Helene Lauper Bagatelas practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Pauline Helene Lauper Bagatelas is 1104566082 and holds a License No. MD20798 (RI). The current practice location address for Pauline Helene Lauper Bagatelas is 111 Brewster St, Pawtucket, RI 02860-4400 and can be reached out via phone at 401-729-2304 and via fax at 401-729-2923.

Provider Profile Details

NPI Number
1104566082
Provider Name
Pauline Helene Lauper Bagatelas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Brewster St, Pawtucket, RI 02860-4400
Phone Number
401-729-2304
Fax Number
401-729-2923
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2022
Last Update Date
July 7, 2025
Certification Date
July 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster St
Pawtucket, RI 02860-4400
Zip
02860-4400
Phone Number
401-729-2304
Fax Number
401-729-2923
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
455 Toll Gate Road
Prc And Credentialing
Warwick, RI 02886-2759
City
Warwick
State
RI
Zip
02886-2759
Phone Number
401-273-0641

License Information

License Number
MD20798
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pauline H Bagatelas, MD?

The NPI number of Pauline H Bagatelas, MD is 1104566082. It was assigned on March 30, 2022 and is currently active in the NPPES registry.

What is the specialty of Pauline H Bagatelas, MD?

Pauline H Bagatelas, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number MD20798.

Where does Pauline H Bagatelas, MD practice?

The practice location is 111 Brewster St, Pawtucket, RI 02860-4400. The office can be reached at 401-729-2304 (phone) or 401-729-2923 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104566082 directly on the NPPES registry website.

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