Bailey William Corson, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DR.0069170 Issued in CO

Practice address

6905 Harris Ave
Kailua, HI 96734

Phone

(303) 775-4098

NPI assigned

Mar 18, 2021

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1790361913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "6905 HARRIS AVE",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HARRIS AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "303-775-4098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Pearl Harbor",
            "state": "HI",
            "postal_code": "968604908",
            "country_code": "US",
            "telephone_number": "303-775-4098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSON",
        "first_name": "BAILEY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0069170",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joel Coquyt, MD
• Susan Lynn Corbin, D.C.
• Sterling Coria
• Sydney Ryan Cornwell, OTD, OTR/L
• Kauinohea Correa, CCC-SLP
• Tania Kehaulani Cortes IX, LMT
• Erin Cortez
• Patricia Iovanna Cortina, CCC-SLP
• Caitlin Malia Cosmian, RN, IBCLC
• Jayda Lee Love Kamalei Costa

• General Practice Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.