Individual provider Active NPI

Benjamin B Bailey, M.D.

  • Emergency Medicine Physician
  • Huntsville, AL
National Provider Identifier
1386680965
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25465 Issued in AL
Practice address
3007D Memorial Pkwy SW
Huntsville, AL 35801-5304
Phone
(256) 382-5205
Fax
(256) 382-3355
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25465 AL Primary
General Practice Physician 208D00000X 25465 AL

Addresses

Primary practice location

3007D Memorial Pkwy SW
Huntsville, AL 35801-5304

Mailing address

3007D Memorial Pkwy SW
Huntsville, AL 35801-5304
Phone (256) 382-5205

Other identifiers 1

IdentifierTypeStateIssuer
051000508OtherALBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040503000794 AL Practitioner - Emergency Medicine 2163410879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JS Weill Medical College, Cornell University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Physicians Group LLC 16 clinicians

Practice addresses (Care Compare)

400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 235-5121

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25465ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Physicians Group LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 31, 2013 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Sep 17, 2012 Accepting new patients
Fayette Medical Center Past Accepting new patients
Alabama Urgent Care for Women Dba of OB/GYN Sub-Specialty Center,PC Emergency Medicine Past Accepting new patients
OB/GYN Sub-Speciality Center,PC Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1386680965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007D MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015304",
            "telephone_number": "256-382-5205",
            "fax_number": "256-382-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007D MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015304",
            "telephone_number": "256-382-5205",
            "fax_number": "256-382-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "25465",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "25465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "051000508",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.