Individual
JON MICHAEL BADGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 162835, FORT WORTH, TX 76161-2835
(817) 334-0530
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D8139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N47F
MEDICARE GROUP
TX
05
—
100128470A
—
OK
05
—
107880102
—
TX
01
—
107880104
FIRSTCARE COMMERICAL
TX
05
—
129844006
—
TX
05
—
129844008
—
TX
05
—
129844010
—
TX
01
—
129844011
CSHCN
TX
01
—
137345809
MEDICAID GROUP
TX
01
—
140442853
CSHCN GROUP
TX
01
—
1447220850
NPI GROUP
TX
01
—
201000424
PRESBYTERIAN COMMERCIAL
NM
05
—
201000424
—
NM
01
—
87249Z
HMO BLUE
TX
01
—
8F0118
BC/BS
TX
01
—
B174
TRIWEST
—
05
—
V2811
—
NM
Enumeration date
06/08/2005
Last updated
05/26/2010
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