Provider Type Icon

BAILEY FAMILY PRACTICE NPI 1043231780


NPI Information

NPI: 1043231780
Provider Name: BAILEY FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0870642

Address:
101 E WISCONSIN AVE
BONIFAY, FL
ZIP 32425
Phone: (850) 547-2209
Get Directions

BAILEY FAMILY PRACTICE is a family medicine in Bonifay, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAILEY FAMILY PRACTICE NPI is 1043231780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 E WISCONSIN AVE
BONIFAY, FL
ZIP 32425-809
Phone: (850) 547-2209
Fax: (850) 547-4521

The provider's authorized official is Leisa Hill Bailey .
The authorized official title is Owner and has the following contact phone number (850) 547-2209.

The CLIA number assigned to this NPI record is 10D0870642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 5/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME0063592FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1379115700MEDICAIDFLORIDA
240620OTHERFLORIDABCBS
340620MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.