Bailey Dermatology P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

47539 Issued in CO

Legal business name

BAILEY DERMATOLOGY P.C.

Practice address

1230 Chambers Dr
Boulder, CO 80305-6729

Phone

(303) 666-8288

NPI assigned

Dec 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian Norris Bailey, MD

Title

Owner

Phone

(303) 666-8288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1306182787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CHAMBERS DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056729",
            "telephone_number": "303-666-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 CHAMBERS DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056729",
            "telephone_number": "303-666-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY DERMATOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "NORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-666-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "47539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01228056",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josefina Baeza
• Baadrea Bagley
• Jennifer Bagrowski
• Bahar Esmaili DDS PLLC
• Elizabeth Bahnsen, RDN
• Angela Lynne Bailey
• Brian N Bailey, MD
• Claire Elizabeth Bailey
• Jessica Kathleen Bailey
• Mary Bailey, RD

• Dermatology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.