Active NPI
Robert B. Bailey Jr., M.D.
- Urology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 17021
- Practice address
- 1920 E Cambridge Ave
Suite 302
Phoenix, AZ 85006-1459 - Phone
- (602) 279-1697
- Fax
- (602) 264-0461
- NPI assigned
- Jan 18, 2006
- Last updated
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 17021 | AZ | Primary |
Addresses
Primary practice location
1920 E Cambridge Ave
Suite 302
Phoenix, AZ 85006-1459
Mailing address
1920 E Cambridge Ave
Suite 302
Phoenix, AZ 85006-1459
Phone (602) 279-1697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271172 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17021 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| Phoenix Children's Hospital | Current | Accepting new patients | |
| Pediatric Urology Associates, LTD. | Urology | Past | Accepting new patients |
| Urology Associates, LTD | Urology | Past | Accepting new patients |
Locations
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
1920 E Cambridge Ave
Ste 200
Phoenix, AZ 85006
Phone (602) 933-0965
1920 E Cambridge Ave
Ste 302
Phoenix, AZ 85006
Phone (602) 279-1697
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Phoenix Children's Medical Group
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- Phoenix, AZ
- NPI 1922112044
-
- Urology Physician
- Phoenix, AZ
- NPI 1154301166
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Urology Physician
- Phoenix, AZ
- NPI 1952334690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1043290042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 E CAMBRIDGE AVE",
"address_2": "SUITE 302",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061459",
"telephone_number": "602-279-1697",
"fax_number": "602-264-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E CAMBRIDGE AVE",
"address_2": "SUITE 302",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850061459",
"telephone_number": "602-279-1697",
"fax_number": "602-264-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ROBERT",
"middle_name": "B.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "17021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271172",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.