CHARLES W BAGLEY PNP
NPI 1992714588
Nurse Practitioner - Pediatrics in Collierville, TN

Q: What is Charles Bagley's NPI number?

The NPI number for Charles Bagley is 1992714588. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Charles Bagley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Charles Bagley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 05, 2006

120 CRESCENT DR, COLLIERVILLE, TN 38017(901) 757-3560(901) 757-3563 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles W Bagley Pnp NPPES

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

CHARLES W BAGLEY PNP (NPI 1992714588) is an individual pediatrics provider in Collierville, Tennessee, licensed in Tennessee (121342) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1992714588

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameCHARLES W BAGLEYCredential: PNP

Location Address120 CRESCENT DRCollierville, TN 38017

Mailing Address8110 Walnut Run RdCordova, TN 38018 · (901) 757-3550 · Fax (901) 757-3549

Phone(901) 757-3560

Fax(901) 757-3563

Sole ProprietorNo

Enumeration DateAugust 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992714588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in TN · 121342

120 CRESCENT DR, Collierville, TN 38017

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Other Providers at the Same Location NPPES 4

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

GRANT THOMAS NEWMAN MD

Pediatrics

120 CRESCENT DR
COLLIERVILLE, TN 38017

Shelby County (901) 757-3560

WILLIAM MURRAY FESMIRE MD

Pediatrics

120 CRESCENT DR
COLLIERVILLE, TN 38017

Shelby County (901) 757-3560

WAYLAND J HAYES III MD

Pediatrics

120 CRESCENT DR
COLLIERVILLE, TN 38017

Shelby County (901) 757-3560

DR. ANDREW NOBLE IRWIN M.D.

Pediatrics

120 CRESCENT DR
COLLIERVILLE, TN 38017

Shelby County (901) 757-3560

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 Charles Bagley's NPI number?

The NPI number for Charles Bagley is 1992714588. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Charles Bagley located?

Charles Bagley practices at 120 Crescent Dr, Collierville, TN 38017. The listed phone number is (901) 757-3560.

What is Charles Bagley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Charles Bagley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.