National Provider Identifier

David L Bagnall, MD

David L Bagnall, MD is listed in the NPPES registry with a primary specialty of Specialist in Amherst, NY and a listed phone number of (716) 250-6545.

NPI 1942298104Amherst, NYSpecialist

Profile Overview

NPI
1942298104
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 12, 2005
Last Updated
October 16, 2015

Practice Location

  • 3925 Sheridan Dr
  • Amherst, NY 14226-1718

Phone: (716) 250-6545

Mailing Address

  • 5500 Main St 107
  • Williamsville, NY 14221-6766

Specialties

  • Specialist (174400000X)
Full Record
NPI
1942298104
Entity Type
Individual
Last Name
Bagnall
First Name
David
Middle Name
L
Credential
MD
Mailing Street Address
5500 Main St 107
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6766
Mailing Country
US
Mailing Phone
(716) 906-5908
Practice Street Address
3925 Sheridan Dr
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1718
Practice Country
US
Practice Phone
(716) 250-6545
Practice Fax
(716) 250-6566
Enumeration Date
October 12, 2005
Last Updated
October 16, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
00010007802 (NY, Univerahealthcare), 000523745005 (NY, Blue Cross/Community Blue), 3007272 (NY, Independent Health)