Active NPI
Kenneth A Bailey, MD
- Plastic Surgery Physician
- Bakersfield, CA
National Provider Identifier
1326175597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 146475
- Practice address
- 5020 Commerce Dr
Bakersfield, CA 93309-0631 - Phone
- (661) 324-4100
- Fax
- (661) 324-4600
- NPI assigned
- Feb 27, 2007
- Last updated
- Jan 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7551 | MT | |
| Plastic Surgery Physician | 208200000X | 146475 | CA | Primary |
Addresses
Primary practice location
5020 Commerce Dr
Bakersfield, CA 93309-0631
Mailing address
5251 Office Park Dr
Ste. 202
Bakersfield, CA 93309-0404
Phone (661) 829-0074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152235 | Medicaid | MT | |
| 000009881 | Other | MT | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7551 | MT | MD | Specialist |
| 146475 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | 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.
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- Glasgow, MT
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1326175597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5251 OFFICE PARK DR",
"address_2": "STE. 202",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090404",
"telephone_number": "661-829-0074",
"fax_number": "661-200-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 COMMERCE DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090631",
"telephone_number": "661-324-4100",
"fax_number": "661-324-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "7551",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "146475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152235",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000009881",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.