Brent G Bailey

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRENT G BAILEY

Practice address

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

Phone

(843) 886-3957

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Wiggins

Title

Office Manager

Phone

(843) 886-6461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1235396821",
    "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": "843-886-3957"
        },
        {
            "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": "843-886-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT G BAILEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-886-6461"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Athan Armstrong, M.D.
• Aspire
• Brent G Bailey, DDS
• Gayle Bbroudy, RN
• John Bistis, COTA/L
• Michael John Budlong
• Meghan Barbara Casey, M.S.
• Taylor N Crews, MSN, APRN, PMHNP
• Delta of Isle of Palms LLC (Delta Pharmacy & Medical Supply)
• Brooke G Dooley, LPC

• General Practice Dentistry in Isle of Palms, SC
• Providers in Isle of Palms, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.