Provider Demographics
NPI:1629488101
Name:BAGWELL, SARAH SMITH (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SMITH
Last Name:BAGWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2910 CRESCENT AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2522
Mailing Address - Country:US
Mailing Address - Phone:205-380-8820
Mailing Address - Fax:205-380-8825
Practice Address - Street 1:2910 CRESCENT AVE STE 100
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-2522
Practice Address - Country:US
Practice Address - Phone:205-380-8820
Practice Address - Fax:205-380-8825
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.34707208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics