Individual
JACOB BAGLEY
Active
Individual
JACOB BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
81849
WI
207T00000X
Neurological Surgery Physician
A179465
CA
2084V0102X
Vascular Neurology Physician
81849
WI
2085N0700X
Neuroradiology Physician
MD205373
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000248086
—
WI
Enumeration date
03/31/2014
Last updated
08/24/2026
Update your record
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