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Jacob Bagley, MD
Neurological Surgery Physician in Stanford, California
NPI 1447678172

Jacob Bagley is a Neurological Surgery Physician based in Chicago, CA. Jacob Bagley practices in Stanford, CA and has the professional credentials of MD. The NPI Number for Jacob Bagley is 1447678172 and holds a License No. A179465 (California).

The current practice location address for Jacob Bagley is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 650-723-4000.

Location: 300 Pasteur Dr, Stanford, CA, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447678172
Provider Name
Jacob Bagley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Stanford, CA, 60673-5044
Phone Number
650-723-4000
Fax Number
Provider Enumeration Date
03/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000248086 05 WI
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-4000
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
MD205373 (Oregon)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
A179465 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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