Organization Active NPI

Bailey Medical Group LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1184906729
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS 9465 Issued in FL
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

Updated by the provider on Sep 9, 2011

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1417969239OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.