Individual provider Active NPI

Sandra L Bailey, D.O.

  • Obstetrics & Gynecology Physician
  • Great Falls, MT
National Provider Identifier
1396772067
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10741 Issued in MT
Practice address
1400 29TH St S
Suite 101
Great Falls, MT 59405-5315
Phone
(406) 761-7924
Fax
(406) 761-7945
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10741 MT Primary

Addresses

Primary practice location

1400 29TH St S
Suite 101
Great Falls, MT 59405-5315

Mailing address

1400 29TH St S
Suite 101
Great Falls, MT 59405-5315
Phone (406) 761-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060822000236 MT Practitioner - Obstetrics/Gynecology 4880697499 Reassigns benefits to 1 organization
I20220526000445 TX Practitioner - Obstetrics/Gynecology 4880697499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

760 Hospital Circle
Browning, MT 59417-0000
Phone (406) 338-6154

Hospital & facility affiliations

  • P H S Indian Hospital at Browning - Blackfeet Hospital, Browning, MT, CCN 270074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10741MTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Obstetrical and Gynecological Associates Obstetrics & Gynecology CurrentSince Nov 1, 2006 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients

Locations

1400 29th St S
Ste 101
Great Falls, MT 59405
Phone (406) 761-7924

1522 9th St S
Great Falls, MT 59405
Phone (406) 761-7924

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1396772067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055315",
            "telephone_number": "406-761-7924",
            "fax_number": "406-761-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055315",
            "telephone_number": "406-761-7924",
            "fax_number": "406-761-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.