Organization Active NPI

Richard Bailey, M.D., L.L.C

  • Otolaryngology/Facial Plastic Surgery Physician
  • Bullhead City, AZ
National Provider Identifier
1679761704
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
RICHARD BAILEY, M.D., L.L.C
Practice address
3750 Hwy 95
Suite 101
Bullhead City, AZ 86442-6050
Phone
(928) 763-1020
Fax
(728) 763-2076
NPI assigned
Oct 15, 2007
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mr. Richard L Bailey, M.D.NPI 1477553543
Title
Owner
Phone
(928) 763-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU 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

National Provider Directory

National Provider Directory

Locations

2000 Highway 95
Ste 216
Bullhead City, AZ 86442
Phone (928) 763-1020

3750 Highway 95
Ste 100
Bullhead City, AZ 86442
Phone (928) 763-1020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1679761704",
    "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": "728-763-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BAILEY, M.D., L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-763-1020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.