Active NPI
Scott Bailey
- Durable Medical Equipment & Medical Supplies
- Boise, ID
National Provider Identifier
1114265485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- DME20447
- Practice address
- 206 S Cole Rd
Boise, ID 83709-0934 - Phone
- (208) 830-0016
- Fax
- (208) 939-8731
- NPI assigned
- Jan 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DME20447 | ID | Primary |
| Customized Equipment (DME) | 332BC3200X | DME20447 | ID |
Addresses
Primary practice location
206 S Cole Rd
Boise, ID 83709-0934
Mailing address
206 S Cole Rd
Boise, ID 83709-0934
Phone (208) 830-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DME20447 | ID | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1114265485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090934",
"telephone_number": "208-830-0016",
"fax_number": "208-939-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090934",
"telephone_number": "208-830-0016",
"fax_number": "208-939-8731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ID",
"license": "DME20447",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "ID",
"license": "DME20447",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.