Richard W Bailey, MD
Individual provider Active NPI Family Medicine Physician · Williamsburg, KY
NPI 1508801754 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1508801754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38418 (KY)
- Practice address
- 686 S Highway 25 W
Williamsburg, KY 40769-1604 - Phone
- (606) 549-5052
- Fax
- (606) 549-2718
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38418 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CG Medical Associates Inc | Family Medicine | Past |
Accepting new patients |
| Doctors Urgent Care Offices Medical Group Inc | Past |
Accepting new patients | |
| Richard Bailey M.D. Medical Practice, LLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38418 | KY | Yes |
Addresses
Primary practice location
686 S Highway 25 W
Williamsburg, KY 40769-1604
Mailing address
686 S Highway 25 W
Williamsburg, KY 40769-1604
Phone (606) 549-5052
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000316055 | Other | KY | ANTHEM |
| 64079056 | Medicaid | KY | |
| 030534227 | Other | KY | TAX ID |
Other providers in Williamsburg, KY
- American Health Management, Inc.
- Austin Lane Anderson
- Kayla L Anderson
- Appalachia Health Services LLC
- Associates in Eye Care, Inc.
- Alexis Baker
- Lyndsay Erin Baker
- Jessica Nicole Ball
- Rebecca Banfield
- Baptist Health Medical Group Inc
All providers in Williamsburg, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.