MR. BENSON ELLIOTT BAGWELL FNP-BC
NPI 1639703820
Nurse Practitioner - Family in Clemson, SC

Q: What is Benson Bagwell's NPI number?

The NPI number for Benson Bagwell is 1639703820. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Q: What is Benson Bagwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Benson Bagwell was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 February 26, 2020

111 EVERGREEN DR, CLEMSON, SC 29631(202) 631-1232 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Benson Elliott Bagwell Fnp-bc NPPES

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

MR. BENSON ELLIOTT BAGWELL FNP-BC (NPI 1639703820) is an individual family provider in Clemson, South Carolina, licensed in Washington (AP61040729) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1639703820

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BENSON ELLIOTT BAGWELLCredential: FNP-BC

Location Address111 EVERGREEN DRClemson, SC 29631-2057

Mailing Address111 Evergreen DrClemson, SC 29631-2057 · (202) 631-1232

Phone(202) 631-1232

Sole ProprietorYes

Enumeration DateFebruary 26, 2020

✔ NPI 1639703820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP61040729

111 EVERGREEN DR, Clemson, SC 29631

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Benson Bagwell's NPI number?

The NPI number for Benson Bagwell is 1639703820. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Benson Bagwell located?

Benson Bagwell practices at 111 Evergreen Dr, Clemson, SC 29631. The listed phone number is (202) 631-1232.

What is Benson Bagwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Benson Bagwell accept?

Health plans from Providence Health Plan list Benson 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 Benson Bagwell was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.