Organization Active NPI

Dr Brandon Bailey DO PLLC

  • Internal Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1073133880
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR BRANDON BAILEY DO PLLC
Practice address
3621 S Elder Blvd
Broken Arrow, OK 74011-1755
Phone
(620) 330-0360
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Brandon Bailey, DO
Title
Provider
Phone
(620) 330-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3621 S Elder Blvd
Broken Arrow, OK 74011-1755

Mailing address

3621 S Elder Blvd
Broken Arrow, OK 74011-1755
Phone (620) 330-0360

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1073133880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S ELDER BLVD",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111755",
            "telephone_number": "620-330-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 S ELDER BLVD",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111755",
            "telephone_number": "620-330-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRANDON BAILEY DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "620-330-0360",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.