Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mallory Bagwell, DO

Individual provider Internal Medicine Physician · NPI 1487399309

Dr. Mallory Bagwell, DO is an Internal Medicine in Conway, Arkansas. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2022, 4 years ago. Practices with Conway Regional Medical Center Inc, a 130-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AR
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1700 Altus St Ste 110
Conway, AR 72032-4299
Phone: (501) 852-1366
Fax: (501) 852-1367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2302 College Ave Ste 100, Conway, AR 72034-6297 — (501) 513-5385

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence E18728 (AR)

Record details

NPI number1487399309
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2022
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing addressPo Box 9662, Conway, AR 72033-9662

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2022 (4 years in practice)
Group practice Conway Regional Medical Center Inc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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