Michael L. Bailey, D.O., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K5446 Issued in TX

Legal business name

MICHAEL L. BAILEY, D.O., P.A.

Practice address

3418 N Tarrant Pkwy Ste 310
Fort Worth, TX 76177-8645

Phone

(817) 562-2339

Fax

(817) 562-1342

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Bailey, DONPI 1215931639

Title

President

Phone

(817) 562-2339

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Elite Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Lynn Bailey, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1215931639
  Medicare reassignment Authorized official
• Madison Deskins, APRN-CNP

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1164211710
  NPD

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1194962191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 N TARRANT PKWY STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778645",
            "telephone_number": "817-562-2339",
            "fax_number": "817-562-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 N TARRANT PKWY STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778645",
            "telephone_number": "817-562-2339",
            "fax_number": "817-562-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. BAILEY, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-562-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K5446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201660202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130929605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201660201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly Miceli, LPC
• Michael a. Davis, PC
• Michael Darnell, MD PA
• Michael E Truman DO PA
• Michael H Boothby, MD PA
• Michael N Thompson
• Michael Nazarian Heart & Vascular
• Michael Nazarian MD, Associates
• Michael R. Jackson D.D.S., Inc.
• Sara C Michael, ARNP

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.