Roger B Bailey, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01039162A Issued in IN

Practice address

1206 E National Ave
Brazil, IN 47834-2718

Phone

(812) 442-2480

NPI assigned

Jun 3, 2006

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• St. Vincent Medical Group, Inc.

  dba Ascension Medical Group St. Vincent

  • Orthopaedic Surgery Physician
  • Winchester, IN
  • NPI 1144513375
  Medicare reassignment
• Wound Care Center, LLC

  • General Practice Physician
  • Bloomington, IN
  • NPI 1083652556
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1316985179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342718",
            "telephone_number": "812-442-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478025507",
            "country_code": "US",
            "telephone_number": "812-334-8958",
            "fax_number": "469-398-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ROGER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01039162",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01039162A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Air Evac EMS Inc (Air Evac Lifeteam)
• Caroline Ann Allen
• Anderson-Shaw Chiropractic Inc
• Julie K Anderson-Shaw, D.C.
• Associated Physicians & Surgeions Clinic, LLC
• Melissa Ann Barker, FNP-C
• Melissa D Bass, LCSW
• Cole Joseph Bennett-Worley, MSN, RN
• Ricky Bhimani, M.D.
• Nilah Nicole Bonham, O.D.

• Anesthesiology Physician in Brazil, IN
• Providers in Brazil, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.