Thomas Bailey, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

17538 Issued in WV

Practice address

175 Philpott LN
Beaver, WV 25813-9501

Phone

(304) 254-9262

NPI assigned

Jan 4, 2006

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beckley Treatment Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver, WV
  • NPI 1043229594
  Medicare reassignment NPD
• Beckley Treatment Center, LLC

  • Methadone Clinic
  • Beaver, WV
  • NPI 1558876383
  NPD
• Beckley Treatment Center, LLC

  • Methadone Clinic
  • Beaver, WV
  • NPI 1598167496
  NPD
• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1659359396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PHILPOTT LN",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139501",
            "telephone_number": "304-254-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PHILPOTT LN",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139501",
            "telephone_number": "304-254-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WV",
            "license": "17538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Danyiel Anderson, DC
• Austin Luke Angel, B.A.
• James W Aurentz
• Back to Health Chiropractic
• Jill Keneda Bailey, APRN, BC
• Leisha Banks
• James E Beaver Jr., PAC
• Beckley Treatment Center, LLC
• Beckley Treatment Center, LLC
• Beckley Treatment Center, LLC

• Addiction Medicine (Internal Medicine) Physician in Beaver, WV
• Providers in Beaver, WV by specialty
• Addiction Medicine (Internal Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.