Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRETT GERALD BAGLEY, P.A. - CERTIFIED
Active Sole ProprietorMR. BRETT GERALD BAGLEY, P.A. - CERTIFIED is a Medical Physician Assistant healthcare provider located in REXBURG, Idaho. NPI 1932254133 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · REXBURG, ID
Registration Details
- NPI Number
- 1932254133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.554738315698 yrs)
- Last Updated
- Jun 26, 2018
- License
-
PA-215 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
556 TREJO STSUITE BREXBURG, ID, 83440Browse ID providers · Browse ZIP 83440
- Phone
- 2083592263
- Fax
- 2083592042
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| TRENT E SHAW | PA-C | 1366488926 |
| ZACHERY M BRUNSON | PA-C | 1447296785 |
| CHRISTINA GOODMAN | PA | 1780691394 |
| MR. DALLIN BRIM GAMBLES | PA | 1760533400 |
| MR. MARK S. HAMMAR | PA-C | 1609998731 |
| GREG LYLE KLINGLER | PA-C | 1972770881 |
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.