Individual
BRADLEY DARRELL FAGLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 W EAGLE DR, DECATUR, TX 76234-3745
(940) 627-7443
(940) 627-7597
Mailing address
1001 W EAGLE DR, DECATUR, TX 76234-3745
(940) 627-7443
(940) 627-7464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N5045
TX
208000000X
Pediatrics Physician
N5045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220200401
—
TX
01
—
P00964976
RAILROAD MEDICARE
TX
Enumeration date
10/29/2008
Last updated
09/22/2016
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