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Dr. Brendon D Bagley, MD
Student in an Organized Health Care Education/Training Program in Travis Afb, California
NPI 1669761862

Brendon D Bagley is a Student in an Organized Health Care Education/Training Program based in Travis Afb, CA. Brendon D Bagley practices in Travis Afb, CA and has the professional credentials of MD. The NPI Number for Brendon D Bagley is 1669761862 and holds a License No. A143217 (California).

The current practice location address for Brendon D Bagley is 101 Bodin Cir, Travis Afb, CA and can be reached out via phone at 718-283-6000.

Location: 101 Bodin Cir, Travis Afb, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669761862
Provider Name
Brendon D Bagley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir, Travis Afb, CA, 94535-1809
Phone Number
718-283-6000
Fax Number
Provider Enumeration Date
03/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
718-283-6000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
718-283-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
275244 (New York)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A143217 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A143217 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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