JORDAN LEE BAGNALL MD
NPI 1497558985
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Q: What is Jordan Bagnall's NPI number?

The NPI number for Jordan Bagnall is 1497558985. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Jordan Bagnall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Bagnall was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 31, 2025

195 CENTRAL CAMPUS DR, SALT LAKE CITY, UT 84112(801) 581-3811 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Lee Bagnall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LEE BAGNALL MD (NPI 1497558985) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1497558985

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN LEE BAGNALLCredential: MD

Location Address195 CENTRAL CAMPUS DRSalt Lake City, UT 84112-0519

Mailing Address1505 Broad Ave Apt ACharlottesville, VA 22903-3721

Phone(801) 581-3811

Sole ProprietorNo

Enumeration DateMarch 31, 2025

NPPES CertifiedMarch 30, 2025

✔ NPI 1497558985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

195 CENTRAL CAMPUS DR, Salt Lake City, UT 84112

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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 Jordan Bagnall's NPI number?

The NPI number for Jordan Bagnall is 1497558985. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jordan Bagnall located?

Jordan Bagnall practices at 195 Central Campus Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-3811.

What is Jordan Bagnall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Bagnall was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.