TRACY GLEN BAGWELL (NPI# 1821028325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821028325 |
| Entity Type | Individual |
| Full Name | TRACY GLEN BAGWELL |
| Credential | DC |
| Practice Address |
2227 Drake Avenue Suite 13 Huntsville AL 35805 |
| Practice Telephone | 2568808833 |
| Practice Fax Number | 2568808838 |
| Mailing Telephone | 2568808833 |
| Mailing Fax Number | 2568808838 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | AL1224 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 71286 | 01 |
| Street Address |
2227 DRAKE AVENUE SUITE 13 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373264 | Kreative Kare In Home Services Inc | Driver | 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 | 2019-12-20 |
| 1871015479 | Kathryn Renee Garcia | Nurse Practitioner | 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 | 2017-07-14 |
| 1356885362 | Valley Spine and Pain LLC | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 | 2016-12-09 |
| 1518325612 | Candace Ann Hatcher | Speech-Language Pathologist | 411 Mcallister Drive Sw, Huntsville, AL 35805 | 2016-02-03 |
| 1073799862 | Landmark Chiropractic, Inc. | Chiropractor | 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 | 2008-01-11 |
| 1245431501 | Sean Patrick Wallis | Chiropractor | 2915 Bob Wallace Ave Sw, Suite B, Huntsville, AL 35805 | 2007-05-31 |
| 1194937862 | Sara Mirza | Family Medicine | 500 Markaview Rd. Nw, Huntsville, AL 35805 | 2007-05-04 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1376613745 | North Alabama Pet Scan LLC | Radiologic Technologist | 3601 Cci Drive Nw, Huntsville, AL 35805 | 2006-11-09 |
| 1982667788 | Norman A. Sabio | Internal Medicine | 2103 Drake Ave, Sw, Huntsville, AL 35805 | 2006-04-11 |
| Find all providers in zip 35805 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518913 | David Tyler Brown | Chiropractor | 2605 Old Fairway Rd Ste 100, Huntsville, AL 35806-6401 | 2020-04-29 |
| 1790339778 | Cove Chiropractic Inc. | Chiropractor | 7900 Bailey Cove Rd Se Ste E, Huntsville, AL 35802-3324 | 2019-07-29 |
| 1598258303 | Robert Taylor Wesson | Chiropractor | 2717 Downing St Se, Huntsville, AL 35801-2266 | 2018-06-07 |
| 1154834067 | Bagwell Chiropractic | Chiropractor | 2915b Bob Wallace Ave Sw, Huntsville, AL 35805-4107 | 2017-11-14 |
| 1932612827 | Hunter Patrick Lee | Chiropractor | 806 Governors Dr Sw Ste 102, Huntsville, AL 35801-5133 | 2017-11-14 |
| 1629524079 | Back Pain Relief Chiropractic LLC | Chiropractor | 2400 Bob Wallace Ave Sw Ste 204, Huntsville, AL 35805-4775 | 2016-08-26 |
| 1407215726 | Advanced Health Management, LLC | Chiropractor | 303 Williams Ave Sw Ste 135, Huntsville, AL 35801-6001 | 2016-02-15 |
| 1336523042 | North Alabama Spine & Rehab, LLC | Chiropractor | 2312 Market Pl Sw Ste B, Huntsville, AL 35801-5212 | 2015-07-13 |
| 1649652066 | Dr. Jamies Wellness Center LLC | Chiropractor | 917 Merchants Walk Sw, Suite A, Huntsville, AL 35801-5268 | 2015-06-22 |
| 1942698279 | P3 Chiropractic and Sports Care, Inc. | Chiropractor | 2050 South Point Park Cir., Suite 150, Huntsville, AL 35801 | 2015-01-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35805 |
Please comment or provide details below to improve the information on TRACY GLEN BAGWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.