Individual
JACKSON PHILIP BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
121 CAHILL RD STE 206, BRANSON, MO 65616-1911
(417) 348-8100
Mailing address
121 CAHILL RD STE 206, BRANSON, MO 65616-1911
(417) 348-8100
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2020235730
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2022035730
MO
Other
Enumeration date
03/31/2021
Last updated
12/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us