Betty Bailey, M.D.
Individual provider Active NPI Anesthesiology Physician · Gulfport, MS
NPI 1790145142 · NPPES record last updated Feb 27, 2016
Key facts
- NPI
- 1790145142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 06441 (MS)
- Practice address
- 1529 Magnolia St
Lot 16
Gulfport, MS 39507-3547 - Phone
- (228) 604-2626
- Fax
- (228) 896-6036
- NPI assigned
- Feb 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06441 | MS | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 06441 | MS | Yes |
Addresses
Primary practice location
1529 Magnolia St
Lot 16
Gulfport, MS 39507-3547
Mailing address
1529 Magnolia St
Lot 16
Gulfport, MS 39507-3547
Phone (228) 604-2626
Other providers in Gulfport, MS
- Nabil Azar
- B & B Homecare Services LLC
- B Tullos MD LLC
- Lissa Kelly Baber
- Back Room
- Chelsea Bailey
- David Jason Bailey
- Sal Bailey
- Angela Paoletto Baker
- Clifford Eugene Baker
All providers in Gulfport, MS · Anesthesiology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.