Individual provider Active NPI

Bradley B. Bailey, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1780690677
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G85086 Issued in CA
Practice address
10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699
Phone
(858) 621-1514
Fax
(858) 585-4070
NPI assigned
Jul 31, 2006
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G85086 CA Primary

Addresses

Primary practice location

10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699

Mailing address

10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699
Phone (858) 621-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC, FL, NC, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20031117000923 CA Practitioner - Emergency Medicine 5799699427 Reassigns benefits to 2 organizations
I20221228001956 SC Practitioner - Undersea and Hyperbaric Medicine 5799699427
I20241003000417 FL Practitioner - Emergency Medicine 5799699427
I20250317000022 NC Practitioner - Emergency Medicine 5799699427
I20250401001234 MI Practitioner - Emergency Medicine 5799699427

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians
Bradley B Bailey MD and Roger B Schechter MD IncGroup PAC ID 6204987407, 6 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scmwc Inc CurrentSince Aug 1, 2024 Accepting new patients
Arch Health Partners, Inc Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Arch Health Partners CurrentSince Jan 1, 2026 Accepting new patients
Ncmwc, Inc CurrentSince Nov 15, 2024 Accepting new patients
Palomar Health Past Accepting new patients
Bradley B Bailey MD Inc Emergency Medicine Past Accepting new patients
Regents of the University of California Emergency Medicine Past Accepting new patients
Grossmont Emergency Medical Group Emergency Medicine Past Accepting new patients

Locations

15611 Pomerado Rd
Ste 200
Poway, CA 92064
Phone (858) 613-4755

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514

5540 Centerview Dr
Ste 204
Raleigh, NC 27606
Phone (704) 221-2320

1117 48th Ave N
Ste 124
Myrtle Beach, SC 29577
Phone (619) 289-9356

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1780690677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10089 WILLOW CREEK RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311699",
            "telephone_number": "858-621-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10089 WILLOW CREEK RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311699",
            "telephone_number": "858-621-1514",
            "fax_number": "858-585-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRADLEY",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G85086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.