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DR. MICHAEL LYNN BAILEY DO NPI 1215931639


NPI Information

NPI: 1215931639
Provider Name: DR. MICHAEL LYNN BAILEY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 45D1102148

Address:
3418 N TARRANT PKWY STE 310
FORT WORTH, TX
ZIP 76177
Phone: (817) 562-2339
Get Directions

DR. Michael Lynn Bailey, DO is a family medicine in Fort Worth, TX with 27 years of experience. 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. DR. Michael Lynn Bailey, DO NPI is 1215931639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:1997

The provider's business location address is:

3418 N TARRANT PKWY STE 310
FORT WORTH, TX
ZIP 76177-645
Phone: (817) 562-2339
Fax: (817) 562-1342

The NPI 1215931639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D1102148 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 2/8/2022.


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 MedicineK5446TEXASYes

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
1130929605MEDICAIDTEXAS
2201660202MEDICAIDTEXAS
3130929614MEDICAIDTEXAS
4201660201MEDICAIDTEXAS
5P01037952OTHERTEXASRAILROAD
6130929606MEDICAIDTEXAS

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.