Individual provider Active NPI

Richard Lefroy Bailey, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bullhead City, AZ
National Provider Identifier
1477553543
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
25327 Issued in AZ
Practice address
3750 Hwy 95
Suite 101
Bullhead City, AZ 86442-6050
Phone
(928) 763-1020
Fax
(928) 763-2076
NPI assigned
Jul 29, 2005
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 25327 AZ Primary

Addresses

Primary practice location

3750 Hwy 95
Suite 101
Bullhead City, AZ 86442-6050

Mailing address

PO Box 21944
Bullhead City, AZ 86439-1944
Phone (928) 763-1020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richard.bailey.1@1575.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080423000641 AZ Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 6406948223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Maxillofacial Surgery, Plastic and Reconstructive Surgery
Education
Emory University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians

Practice addresses (Care Compare)

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

2755 Silver Creek Rd
Suite A105
Bullhead City, AZ 86442-7904
Phone (928) 704-6070

3750 Hwy 95
Suite 101
Bullhead City, AZ 86442-8219
Phone (928) 763-1020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead City Clinic Corp CurrentSince Feb 10, 2014 Accepting new patients
Bullhead City Clinic Corp Otolaryngology CurrentSince Feb 10, 2014 Accepting new patients

Locations

2724 Silver Creek Rd
Bullhead City, AZ 86442
Phone (928) 704-8904

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2755 Silver Creek Rd
#19
Bullhead City, AZ 86442
Phone (520) 763-1020

2755 Silver Creek Rd
Ste 109
Bullhead City, AZ 86442
Phone (928) 763-0030

3750 Highway 95
Ste 101
Bullhead City, AZ 86442
Phone (928) 763-1020

Interoperability endpoints

  • Direct secure messaging: rbaile08@yourcarecommunity.org
  • Direct secure messaging: rbailey170849@direct-guthrie.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1477553543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21944",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864391944",
            "telephone_number": "928-763-1020",
            "fax_number": "928-763-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 HWY 95",
            "address_2": "SUITE 101",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426050",
            "telephone_number": "928-763-1020",
            "fax_number": "928-763-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RICHARD",
        "middle_name": "LEFROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "25327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.bailey.1@1575.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3750 Hwy 95",
            "address_2": "Suite 101",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864426050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.