Richard Bailey M.D. Medical Practice, LLC
Organization Active NPI Family Medicine Physician · Russellville, KY
NPI 1871693663 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871693663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38418 (KY)
- Legal business name
- RICHARD BAILEY M.D. MEDICAL PRACTICE, LLC
- Practice address
- 975 Hopkinsville Rd
Russellville, KY 42276-9774 - Phone
- (270) 725-8350
- Fax
- (270) 725-8891
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard Bailey, M.D.
- Title
- Medical Doctor
- Phone
- (270) 725-8350
Practitioners 1
-
Richard W Bailey, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 38418 | KY | Yes |
Addresses
Primary practice location
975 Hopkinsville Rd
Russellville, KY 42276-9774
Mailing address
975 Hopkinsville Rd
Russellville, KY 42276-9774
Phone (270) 725-8350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000316055 | Other | KY | ANTHEM |
| 64079056 | Medicaid | KY |
Other providers in Russellville, KY
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- Cheepuloti Hanumantha Reddy
- Kari Retzlaff
- Elizabeth A Reynolds
- Daniel N Richardson
- Riley-White Inc
- Riley-White Inc
- Alannah Whitney Robertson
- Rollins Bedford Corporation
All providers in Russellville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.