DR. HOLLI BETH BAGWELL D.O.
NPI 1639346240
Pediatrics - Pediatric Emergency Medicine in Springdale, AR

Q: What is Holli Bagwell's NPI number?

The NPI number for Holli Bagwell is 1639346240. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Holli Bagwell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Holli Bagwell was last updated on November 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2008PECOS Enrolled

2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762(479) 725-6977(479) 725-6577 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2024, Jan 7, 2019, Jun 21, 2018 and 2 more (5 updates tracked since 2018).

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About Dr. Holli Beth Bagwell D.o. NPPES

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

DR. HOLLI BETH BAGWELL D.O. (NPI 1639346240) is an individual pediatric emergency medicine provider in Springdale, Arkansas, licensed in Arkansas (E-7049) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639346240

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. HOLLI BETH BAGWELLCredential: D.O.

Location Address2601 GENE GEORGE BLVDSpringdale, AR 72762

Mailing Address1 Childrens Way # 844Little Rock, AR 72202-3500 · (501) 364-2090 · Fax (501) 364-3929

Phone(479) 725-6977

Fax(479) 725-6577

Sole ProprietorNo

Enumeration DateMay 13, 2008

Last NPPES UpdateNovember 22, 20245 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1639346240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

Licenses✔ Licensed in AR · E-7049✔ Licensed in MO · 2014025044

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

2601 GENE GEORGE BLVD, Springdale, AR 72762

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Other Identifiers 3

Medicaid200701360AOK

Medicaid230539003AR

Medicaid200016157MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Holli Beth Bagwell D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY DALE GRILLS MD

Pediatrics