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Contact Information

JACKSON P BAGBY, DO
121 CAHILL RD STE 206
BRANSON, MO65616-1911
 Phone: 417-348-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JACKSON P BAGBY · (Male)

NPI Number 1134707045
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/31/2021
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020235730
  • MO License # 2022035730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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