Crbailey Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CRBAILEY MEDICAL LLC

Practice address

105 Church St
Rainbow City, AL 35906-6242

Phone

(256) 393-1713

Fax

(256) 467-3023

NPI assigned

Oct 15, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher R Bailey, MD

Title

Owner

Phone

(256) 393-1713

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifestyle Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1043786288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 KINGSHILL RD",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352231470",
            "telephone_number": "256-393-1713",
            "fax_number": "256-467-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHURCH ST",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359066242",
            "telephone_number": "256-393-1713",
            "fax_number": "256-467-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRBAILEY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-393-1713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750609350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John Allen Davis, DMD
• Dci Holdings, Inc
• Mary Jazma Dobbins, DPT
• Dr. April R. King, OD, LLC

• Clinic/Center in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.