Individual provider Active NPI

William Merrill Bailey, M.D.

  • Family Medicine Physician
  • Newberg, OR
National Provider Identifier
1295919512
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD14622 Issued in OR
Practice address
308 Villa Road Ste 114
Newberg, OR 97132-1881
Phone
(503) 538-9431
Fax
(503) 538-2358
NPI assigned
Dec 21, 2007
Last updated
Oct 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD14622 OR Primary

Addresses

Primary practice location

308 Villa Road Ste 114
Newberg, OR 97132-1881

Mailing address

308 Villa Road Ste 114
Newberg, OR 97132-1881
Phone (503) 538-9431

Other identifiers 3

IdentifierTypeStateIssuer
175117MedicaidOR
0912210001OtherORBLUE CROSS
080860OtherORSAIF (WORKERS COMP)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000337 OR Practitioner - Family Practice 9931106317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14622ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William M Bailey MD Family Medicine CurrentSince Jun 10, 1983 Accepting new patients

Locations

308 N Villa Rd
Ste 114
Newberg, OR 97132
Phone (503) 537-1850

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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1295919512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 VILLA ROAD STE 114",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321881",
            "telephone_number": "503-538-9431",
            "fax_number": "503-538-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 VILLA ROAD STE 114",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321881",
            "telephone_number": "503-538-9431",
            "fax_number": "503-538-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "WILLIAM",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD14622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175117",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0912210001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAIF (WORKERS COMP)",
            "identifier": "080860",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.