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DR. BO BAGENHOLM MD
NPI 1548566904
Obstetrics & Gynecology - Gynecology in The Villages, FL

Active since February 02, 2011
1704 DUFFY LOOP, THE VILLAGES, FL 32162(352) 350-2530(352) 350-2530 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bo Bagenholm Md NPPES

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

DR. BO BAGENHOLM MD (NPI 1548566904) is an individual gynecology provider in The Villages, Florida, licensed in Florida (ME24950) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1548566904
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. BO BAGENHOLMCredential: MD
Location Address1704 DUFFY LOOPThe Villages, FL 32162-4093
Mailing Address1704 Duffy LoopThe Villages, FL 32162-4093 · (352) 350-2530 · Fax (352) 350-2530
Phone(352) 350-2530
Fax(352) 350-2530
Sole ProprietorYes
Enumeration DateFebruary 2, 2011
✔ NPI 1548566904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME24950
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1704 DUFFY LOOP, The Villages, FL 32162
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Other Identifiers 1

Medicaid50474-2FL

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 Bo Bagenholm's NPI number?

The NPI number for Bo Bagenholm is 1548566904. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Bo Bagenholm located?

Bo Bagenholm practices at 1704 Duffy Loop, The Villages, FL 32162. The listed phone number is (352) 350-2530.

What is Bo Bagenholm's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Bo Bagenholm was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.