MR. CHRISTOPHER B BAILEY PA-C NPI 1154304764

NPI Information

  • NPI: 1154304764
  • Provider Name: MR. CHRISTOPHER B BAILEY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2200 RANDALLIA DR
    FORT WAYNE, IN
    ZIP 46805
  • Phone: (260) 373-4000

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NPI Details

MR. Christopher B Bailey, PA-C is a medical physician assistant in Fort Wayne, IN. MR. Christopher B Bailey, PA-C NPI is 1154304764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 RANDALLIA DR
FORT WAYNE, IN
ZIP 46805-638
Phone: (260) 373-4000
Fax: (260) 482-4442

The enumeration date for this NPI number is 11/29/2005 and was last updated on 8/9/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical10000061INDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R29492MEDICARE UPININDIANA
2047840LMEDICARE ID-TYPE UNSPECIFIEDINDIANA
3930050826MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE

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: 11/21/2025

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