RANDAL BAGWELL PT, DPT
NPI 1205662079
Physical Therapist - Orthopedic in Dallas, TX
About Randal Bagwell Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDAL BAGWELL PT, DPT (NPI 1205662079) is an individual orthopedic provider in Dallas, Texas and active in the NPI registry since September 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randal Bagwell Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Randal Bagwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southlake, TX 76092
- Reassigned Medicare billing, Texas enrollment
- 474 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Randal Bagwell's NPI number?
The NPI number for Randal Bagwell is 1205662079. It was assigned to this individual provider in the NPPES registry on September 10, 2024.
Where is Randal Bagwell located?
Randal Bagwell practices at 1015 N Carroll Ave Ste 100, Dallas, TX 75204. The listed phone number is (214) 887-6580.
What is Randal Bagwell's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Randal Bagwell enrolled in Medicare?
Yes. Randal Bagwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Randal Bagwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randal Bagwell reassigns Medicare benefits to Texas Luna Care Physical Therapy LLC (Southlake, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randal Bagwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randal Bagwell accept?
Health plans from Blue Cross and Blue Shield of Texas list Randal Bagwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Randal Bagwell was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Randal Bagwell, PT, DPT · NPI 1205662079
Orthopedic provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since September 10, 2024.
## Identity
- **NPI:** 1205662079 (Entity type: Individual)
- **Enumerated:** September 10, 2024
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1015 N CARROLL AVE STE 100, Dallas, TX 75204-6613
- **Phone:** (214) 887-6580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Texas Luna Care Physical Therapy LLC (NPI 1790309656, Southlake, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205662079) · Data from the CMS NPPES public registry.