Active NPI
William Edgar Bailey, M.D.
- Specialist
- Coronado, CA
National Provider Identifier
1396971388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G18196
- Practice address
- 41 Port Royale Rd
Coronado, CA 92118-3288 - Phone
- (619) 423-2497
- NPI assigned
- Jun 3, 2009
- Last updated
- Jun 3, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G18196 | CA | Primary |
Addresses
Primary practice location
41 Port Royale Rd
Coronado, CA 92118-3288
Mailing address
41 Port Royale Rd
Coronado, CA 92118-3288
Phone (619) 423-2497
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18196 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1396971388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PORT ROYALE RD",
"city": "CORONADO",
"state": "CA",
"postal_code": "921183288",
"telephone_number": "619-423-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PORT ROYALE RD",
"city": "CORONADO",
"state": "CA",
"postal_code": "921183288",
"telephone_number": "619-423-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "WILLIAM",
"middle_name": "EDGAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G18196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.