Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON PHILIP BAGBY, DO
ActiveJACKSON PHILIP BAGBY, DO is a Sports Medicine healthcare provider located in BRANSON, Missouri. NPI 1134707045 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · BRANSON, MO
Registration Details
- NPI Number
- 1134707045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2021 (5.3678530127897 yrs)
- Last Updated
- Dec 8, 2025
- Licenses
-
2020235730 (MO)2022035730 (MO)
Practice Information
- Address
-
121 CAHILL RD STE 206BRANSON, MO, 656161911Browse MO providers · Browse ZIP 65616
- Phone
- 4173488100
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.