NPI 1134707045

Jackson Philip Bagby, DO

Practitioner Sports Medicine (Family Medicine) Physician Branson, MO

Practice location

Address: 121 Cahill Rd STE 206, Branson, MO 65616-1911
Phone: (417) 348-8100

Registered specialties (2)

Sports Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 2020235730 (MO)

Other Family Medicine providers in Missouri →

Sports Medicine (Orthopaedic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 2022035730 (MO)

Other Orthopaedic Surgery providers in Missouri →

Registry record

NPI: 1134707045
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2021
Record last updated: 8 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.