Gary W Bailey DO PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101007477 Issued in MI

Legal business name

GARY W BAILEY DO PC

Practice address

2525 Burton St SE
Grand Rapids, MI 49546

Phone

(616) 957-2410

Fax

(616) 957-2411

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Gary Willis Bailey

Title

Physician/Owner

Phone

(616) 957-2410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1164611836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464834",
            "telephone_number": "616-957-2410",
            "fax_number": "616-957-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-2410",
            "fax_number": "616-957-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W BAILEY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "616-957-2410"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101007477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marie Garthe, AGACNP-BC
• Jodi K. Garvin, D.O.
• Kenneth Garvin, LMSW
• Rae Garvison, OTD, OTR/L
• Lisa Garwood, PA-C
• Ashley Gary, PA-C
• Monica Lane Gary, MD
• Ryan Sanders Gary, PT, DPT
• Anthony Joaquin Garza-Kukla
• Angalee Santos Garza

• General Practice Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.