MICHAEL BRENT BAGWELL (DPT) – Physical Therapist, NPI 1891363677

MICHAEL BRENT BAGWELL (DPT) is a healthcare provider. based in Boise, Idaho. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT-7198 (ID). The NPI Number for MICHAEL BRENT BAGWELL (DPT) is 1891363677

Main info

Male
Name
MICHAEL BRENT BAGWELL (DPT)
NPI
1891363677
Phone
(770) 530-0082
Address
2124 S GRANT AVE
Enumeration Date
16 June 2021
Last Update Date
25 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

Provider Addresses for MICHAEL BRENT BAGWELL (DPT)

  • 2124 S GRANT AVE

    BOISE, ID 837064510

    Phone: (770) 530-0082

    Type: Mailing

  • 351 SW 9TH ST

    ONTARIO, OR 979142639

    Phone: (541) 881-7000

    Type: Location

  • 7321 BALMER ST BLDG 570

    HILL AFB, UT 840565012

    Phone: (770) 530-0082

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83706)

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Reviews

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Frequently asked questions

What federal number belongs to MICHAEL BRENT BAGWELL (DPT)?
The federal identifier for MICHAEL BRENT BAGWELL (DPT) is NPI 1891363677.
Is MICHAEL BRENT BAGWELL (DPT)'s NPI currently valid?
The extract we use shows MICHAEL BRENT BAGWELL (DPT) as active.
What does MICHAEL BRENT BAGWELL (DPT) treat or focus on?
Patients typically see MICHAEL BRENT BAGWELL (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL BRENT BAGWELL (DPT)?
The page summarizes Boise, Idaho for MICHAEL BRENT BAGWELL (DPT); expand the address list for detail.
What if Boise, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.