Active NPI
Bruce Raymond Bailey, MD
- Internal Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1083740526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A73919
- Practice address
- 2320 Bath St
Suite 307
Santa Barbara, CA 93105-4339 - Phone
- (805) 687-6674
- Fax
- (805) 687-4960
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73919 | CA | Primary |
Addresses
Primary practice location
2320 Bath St
Suite 307
Santa Barbara, CA 93105-4339
Mailing address
2635 Hacienda Way
Santa Barbara, CA 93105-4140
Phone (805) 682-6110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 15, 2017 through Aug 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73919 | CA | MD | Pharmacist |
Interoperability endpoints
- bruce.bailey@266762599006212.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083740526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 HACIENDA WAY",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054140",
"telephone_number": "805-682-6110",
"fax_number": "805-687-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 BATH ST",
"address_2": "SUITE 307",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054339",
"telephone_number": "805-687-6674",
"fax_number": "805-687-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BRUCE",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.