Active NPI
Bailey Medical Group LLC
- General Practice Physician
- Miami, FL
National Provider Identifier
1184906729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS 9465
- Legal business name
- BAILEY MEDICAL GROUP LLC
- Practice address
- 2000 S Dixie Hwy
#105B
Miami, FL 33133-2456 - Phone
- (305) 860-2488
- Fax
- (305) 285-2422
- NPI assigned
- Sep 9, 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
- Dr. Trevor Bailey, D.O.
- Title
- Medical Director
- Phone
- (305) 860-2488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS 9465 | FL | Primary |
Addresses
Primary practice location
2000 S Dixie Hwy
#105B
Miami, FL 33133-2456
Mailing address
2000 S Dixie Hwy
#105B
Miami, FL 33133-2456
Phone (305) 860-2488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417969239 | Other | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
2000 S Dixie Hwy
Ste 105B
Miami, FL 33133
Phone (305) 860-2488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315526400000",
"number": "1184906729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S DIXIE HWY",
"address_2": "#105B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332456",
"telephone_number": "305-860-2488",
"fax_number": "305-285-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S DIXIE HWY",
"address_2": "#105B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332456",
"telephone_number": "305-860-2488",
"fax_number": "305-285-2422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAILEY MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-860-2488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "OS 9465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1417969239",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.