Active NPI
Bruce O Bailey, MD
- Family Medicine Physician
- Carlisle, PA
National Provider Identifier
1730164625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD050168L
- Practice address
- 1211 Forge Rd
Suite 300
Carlisle, PA 17013-3183 - Phone
- (717) 218-3920
- Fax
- (717) 218-3921
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD050168L | PA | Primary |
Addresses
Primary practice location
1211 Forge Rd
Suite 300
Carlisle, PA 17013-3183
Mailing address
205 Grandview Ave
Suite 210
Camp Hill, PA 17011-1708
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014635900001 | Medicaid | PA | |
| 769933 | Other | HIGHMARK BLUE SHIELD | |
| 50000733 | Other | CAP BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Physician Services Inc. | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Camp Hill, PA
- NPI 1275072662
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1730164625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 GRANDVIEW AVE",
"address_2": "SUITE 210",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170111708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 FORGE RD",
"address_2": "SUITE 300",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133183",
"telephone_number": "717-218-3920",
"fax_number": "717-218-3921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BRUCE",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD050168L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014635900001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "769933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP BLUE CROSS",
"identifier": "50000733",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.