JACOB BAGLEY SOIDC
NPI 1609556273
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Jacob Bagley's NPI number?

The NPI number for Jacob Bagley is 1609556273. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Q: What is Jacob Bagley's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bagley was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 19, 2023

COURTHOUSE RD, BUILDING A66, CAMP LEJEUNE, NC 28547(910) 440-7925 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Bagley Soidc NPPES

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

JACOB BAGLEY SOIDC (NPI 1609556273) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1609556273

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJACOB BAGLEYCredential: SOIDC

Location AddressCOURTHOUSE RD, BUILDING A66Camp Lejeune, NC 28547

Mailing Address5185 Colorado AveCamp Lejeune, NC 28547-1126 · (412) 780-8250

Phone(910) 440-7925

Sole ProprietorNo

Enumeration DateJuly 19, 2023

NPPES CertifiedJuly 17, 2023

✔ NPI 1609556273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

COURTHOUSE RD, Camp Lejeune, NC 28547

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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 Jacob Bagley's NPI number?

The NPI number for Jacob Bagley is 1609556273. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Jacob Bagley located?

Jacob Bagley practices at Courthouse Rd Building A66, Camp Lejeune, NC 28547. The listed phone number is (910) 440-7925.

What is Jacob Bagley's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jacob Bagley was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.