Frederique C Bailliard, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

200301320 Issued in NC

Practice address

4301 Lake Boone TRL Ste 300
Raleigh, NC 27607-7507

Phone

(919) 890-5566

Fax

(919) 896-7494

NPI assigned

Jul 16, 2007

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: frederique.bailliard.1@5801.direct.athenahealth.com

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.

• Bailliard Henry Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Raleigh, NC
  • NPI 1548525470
  Authorized official Same address or phone

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1053510529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507",
            "telephone_number": "919-890-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507",
            "telephone_number": "919-890-5566",
            "fax_number": "919-896-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLIARD",
        "first_name": "FREDERIQUE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "200301320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910173",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920625",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shibahn Jolene Bailey, CRNA, MS
• Talia Bailey, BSW
• Trixy Baldwin Bailey, NCC, LPC, LCAS
• Bailey's Innovation Group (Mind Over Matters Counseling)
• Bailliard Henry Pediatric Cardiology
• Bain Dermatology, P.a.
• Clara Downing Bain, LCAS
• David Alfred Bain Jr., MA, CSAC, LCAS
• Earl Eugene Bain III, MD
• Elizabeth Bain, LCMHCA

• Pediatric Cardiology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Cardiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.