Individual provider Active NPI

Richard Neil Baney, MD

  • Internal Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1306120548
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME16743 Issued in FL
Practice address
1460 Baytree Dr NE
Palm Bay, FL 32905-3900
Phone
(321) 914-0915
Fax
(321) 914-0916
NPI assigned
Oct 6, 2011
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME16743 FL Primary

Addresses

Primary practice location

1460 Baytree Dr NE
Palm Bay, FL 32905-3900

Mailing address

133 Lansing Island Dr
Indian Harbour Beach, FL 32937-5355
Phone (321) 773-4345

Other identifiers 1

IdentifierTypeStateIssuer
ME16743OtherFLMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME16743FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Volunteers in Medicine Past Accepting new patients

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1306120548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LANSING ISLAND DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375355",
            "telephone_number": "321-773-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BAYTREE DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053900",
            "telephone_number": "321-914-0915",
            "fax_number": "321-914-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEY",
        "first_name": "RICHARD",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME16743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME16743",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.