NPIMap

Organization Active NPI

David J. Bailey, M.D., PA

  • Otolaryngic Allergy Physician
  • Lufkin, TX
National Provider Identifier
1558680454
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
J6864 Issued in TX
Legal business name
DAVID J. BAILEY, M.D., PA
Practice address
1111 W Frank Ave
Ste. 301
Lufkin, TX 75904-3303
Phone
(936) 639-1740
Fax
(936) 639-1731
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
David J Bailey, MD
Title
President
Phone
(936) 639-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X J6864 TX Primary

Addresses

Primary practice location

1111 W Frank Ave
Ste. 301
Lufkin, TX 75904-3303

Mailing address

1111 W Frank Ave
Ste. 301
Lufkin, TX 75904-3303
Phone (936) 639-1740

Other identifiers 1

IdentifierTypeStateIssuer
1127938-01MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1558680454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "address_2": "STE. 301",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-639-1740",
            "fax_number": "936-639-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "address_2": "STE. 301",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-639-1740",
            "fax_number": "936-639-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. BAILEY, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-639-1740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "TX",
            "license": "J6864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1127938-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.