Organization Active NPI

Kenneth a Bailey MD PC

  • Plastic Surgery Physician
  • Billings, MT
National Provider Identifier
1205006384
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
7751 Issued in MT
Legal business name
KENNETH A BAILEY MD PC
Practice address
2900 12TH Ave N Ste 290W
Billings, MT 59101-7501
Phone
(406) 238-6269
Fax
(406) 238-6279
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Kenneth A Bailey, MD
Title
Owner
Phone
(406) 238-6269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 7751 MT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 290W
Billings, MT 59101-7501

Mailing address

2900 12TH Ave N Ste 290W
Billings, MT 59101-7501
Phone (406) 238-6269

National Provider Directory

National Provider Directory

Locations

2900 12th Ave N
Ste 235W
Billings, MT 59101
Phone (406) 237-4213

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1205006384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 290W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017501",
            "telephone_number": "406-238-6269",
            "fax_number": "406-238-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 290W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017501",
            "telephone_number": "406-238-6269",
            "fax_number": "406-238-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A BAILEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-238-6269",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MT",
            "license": "7751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.