Active NPI
David Norman Bailey, D.C.
- Chiropractor
- Bryan, TX
National Provider Identifier
1417037607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4061
- Practice address
- 200B E 24TH St
Bryan, TX 77803-5302 - Phone
- (979) 822-2225
- Fax
- (979) 822-8445
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4061 | TX | Primary |
Addresses
Primary practice location
200B E 24TH St
Bryan, TX 77803-5302
Mailing address
200B E 24TH St
Bryan, TX 77803-5302
Phone (979) 822-2225
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4061 | TX | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417037607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200B E 24TH ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778035302",
"telephone_number": "979-822-2225",
"fax_number": "979-822-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200B E 24TH ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778035302",
"telephone_number": "979-822-2225",
"fax_number": "979-822-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "DAVID",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.