Active NPI
WM Kevin Bailey MD PC
- Physical Medicine & Rehabilitation Physician
- Knoxville, TN
National Provider Identifier
1124311121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD0000020443
- Legal business name
- WM KEVIN BAILEY MD PC
- Practice address
- 112 Hotel Rd
Knoxville, TN 37918-3224 - Phone
- (865) 689-4500
- NPI assigned
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Bailey
- Title
- Owner
- Phone
- (865) 689-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD0000020443 | TN | Primary |
Addresses
Primary practice location
112 Hotel Rd
Knoxville, TN 37918-3224
Mailing address
112 Hotel Rd
Knoxville, TN 37918-3224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3081232 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
112 Hotel Rd
Knoxville, TN 37918
Phone (865) 689-4500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Knoxville, TN
- NPI 1689603144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1124311121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HOTEL RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379183224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HOTEL RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379183224",
"telephone_number": "865-689-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WM KEVIN BAILEY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-689-4500"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "MD0000020443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3081232",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.