Brent G Bailey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3539 Issued in SC

Practice address

15 21St Ave
Isle of Palms, SC 29451-2384

Phone

(843) 886-6461

Fax

(846) 886-3957

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1225132871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 21ST AVE",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512384",
            "telephone_number": "843-886-6461",
            "fax_number": "843-886-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 21ST AVE",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512384",
            "telephone_number": "843-886-6461",
            "fax_number": "846-886-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRENT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3539",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Doctor on Call
• Judith Carolyn Anderson, M D
• Doris Spann Argoe, CRNA
• Brian Athan Armstrong, M.D.
• Aspire
• Gayle Bbroudy, RN
• John Bistis, COTA/L
• Brent G Bailey
• Michael John Budlong
• Meghan Barbara Casey, M.S.

• Dentist in Isle of Palms, SC
• Providers in Isle of Palms, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.