Individual
JON MICHAEL BADGWELL
Active
Individual
JON MICHAEL BADGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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