Bailey Family Practice Center, P.a.
Organization Active NPI Primary Care Clinic/Center · Bailey, NC
NPI 1528037959 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1528037959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 38590 (NC)
- Legal business name
- BAILEY FAMILY PRACTICE CENTER, P.A.
- Practice address
- 6321 Deans St
Bailey, NC 27807-8641 - Phone
- (252) 235-4181
- Fax
- (252) 235-2950
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Theodore George Brna Jr., M.D.
- Title
- President
- Phone
- (252) 235-4181
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 38590 | NC | Yes |
Addresses
Primary practice location
6321 Deans St
Bailey, NC 27807-8641
Mailing address
6321 Deans St
P. O. Box 280
Bailey, NC 27807-8641
Phone (252) 235-4181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89159H | Medicaid | NC | |
| 0159H | Other | NC | BLUE CROSS |
| 5610052 | Other | NC | VIRIGINIA MEDICAID |
| CM4727 | Other | NC | RAILROAD MEDICARE GROUP |
Other names
- family medical practice
Other providers in Bailey, NC
- A New Start Initiative Incorporated
- Bailey Pharmacy Inc
- Bailey Pharmacy Inc
- April L Blackford
- Bowden Enterprise Services, LLC
- Bowden Enterprise Services, LLC
All providers in Bailey, NC · Primary Care Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. 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.