Patrick Bagley
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
1649705351- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-334-1000
- Fax
- —
- Last updated
- April 3, 2024
Patrick Bagley is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Patrick Bagley practices in Worcester, MA. The NPI Number for Patrick Bagley is 1649705351 and holds a License No. 73655 (CT). The current practice location address for Patrick Bagley is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-1000.
Provider Profile Details
- NPI Number
- 1649705351
- Provider Name
- Patrick Bagley
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-334-1000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2017
- Last Update Date
- April 3, 2024
- Certification Date
- April 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-1000
Provider Business Mailing Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- MA
- Zip
- 01655-0002
- Phone Number
- 508-334-1000
License Information
- License Number (1)
- 73655
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- DO2942
- License State (2)
- ME
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Patrick Bagley?
The NPI number of Patrick Bagley is 1649705351. It was assigned on May 1, 2017 and is currently active in the NPPES registry.
What is the specialty of Patrick Bagley?
Patrick Bagley is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CT under license number 73655.
Where does Patrick Bagley practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-1000 (phone).
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 1649705351 directly on the NPPES registry website.