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

Jackson Philip Bagby, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1134707045

Jackson Philip Bagby, DO is a Family Practice in Branson, Missouri. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2021, 5 years ago. Practices with Skaggs Community Hospital Association, a 212-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
MO
In the registry since
2021
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

121 Cahill Rd Ste 206
Branson, MO 65616-1911
Phone: (417) 348-8100
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 2020235730 (MO)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 2022035730 (MO)

Record details

NPI number1134707045
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address121 Cahill Rd Ste 206, Branson, MO 65616-1911

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2021 (5 years in practice)
Group practice Skaggs Community Hospital Association — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount