Individual provider Active NPI

Bruce Raymond Bailey, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1083740526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73919 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
73919CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.