Individual provider Active NPI

Brian Keith Bailey, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ashland, KY
National Provider Identifier
1265436141
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00305 Issued in KY
Practice address
500 14TH St
Ashland, KY 41101-2622
Phone
(606) 324-3668
Fax
(606) 324-0668
NPI assigned
Jun 9, 2005
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X 244094 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 00305 KY Primary

Addresses

Primary practice location

500 14TH St
Ashland, KY 41101-2622

Mailing address

500 14TH St
Ashland, KY 41101-2622
Phone (606) 324-3668

Other identifiers 4

IdentifierTypeStateIssuer
3810002375MedicaidWV
2549086MedicaidOH
80000540MedicaidKY
90010612MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000598 KY Practitioner - Podiatry 7113971680 Practice locations: Ashland, KY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 14TH St
Ashland, KY 41101-2622
Phone (606) 324-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue199
Removal of skin lesions56
Removal of nail tissue952
Removal or shaving of skin growth476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00305KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Body-Mind-Spirit Podiatric Center, PLLC Single Specialty CurrentSince Feb 2, 2005 Accepting new patients

Locations

500 14th St
Ashland, KY 41101
Phone (606) 324-3668

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1265436141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 14TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012622",
            "telephone_number": "606-324-3668",
            "fax_number": "606-324-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 14TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012622",
            "telephone_number": "606-324-3668",
            "fax_number": "606-324-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "KY",
            "license": "244094",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002375",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549086",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90010612",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.