GARY W BAILEY DO PC NPI 1164611836

NPI Information

NPI: 1164611836
Provider Name: GARY W BAILEY DO PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2525 BURTON ST SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 957-2410
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GARY W BAILEY DO PC is a general practice in Grand Rapids, MI. GARY W BAILEY DO PC NPI is 1164611836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2525 BURTON ST SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 957-2410
Fax: (616) 957-2411

The provider's authorized official is Gary Willis Bailey .
The authorized official title is Physician/owner and has the following contact phone number (616) 957-2410.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 6/19/2018.

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
1	208D00000X	General Practice		5101007477	MICHIGAN	Yes

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

NPI Synchronization or Removal

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