NPI
Jesse Dunn Bagley
NPI 1790451938
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2021-08-18
- Last updated
- 2021-08-18
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Specialties
Licenses
- License AL
- PTH10355
Location
- Practice location
- 451 Safford Ave W
- City
- Thomasville AL
- Postal code
- 36784-3111
- Phone
- (334) 636-1461
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Thomasville, AL. 105 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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