Bradley B Bailey MD Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G85086 Issued in CA

Legal business name

BRADLEY B BAILEY MD INC

Practice address

36485 Inland Valley Drive
Wildomar, CA 90595

Phone

(951) 304-7103

Fax

(951) 304-7101

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Benjamin Bailey, M.D.NPI 1780690677

Title

President

Phone

(619) 258-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley B. Bailey, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1780690677
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710057708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 F SCRIPPS POWAY PRKY",
            "address_2": "BOX 537",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "619-258-6200",
            "fax_number": "619-258-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36485 INLAND VALLEY DRIVE",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "90595",
            "telephone_number": "951-304-7103",
            "fax_number": "951-304-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY B BAILEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-258-6200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G85086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Borgerding
• Lisa M Bornmann, P.A.-C
• Amanda Bowles
• Kymberli Ann Boynton, PSY.D
• Robin Bradford
• Karen Brann
• Anh Ngoc Brewer, D.O.
• Roseanna Briggs
• Elisabeth Briseno
• Aaron Brown

• Emergency Medicine Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.