Active NPI
Bobby Ray Haley, D.O.
- Family Medicine Physician
- Dunedin, FL
National Provider Identifier
1952350837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS2920
- Practice address
- 180 Patricia Ave
Dunedin, FL 34698-8103 - Phone
- (727) 733-4193
- Fax
- (727) 736-3609
- NPI assigned
- May 9, 2006
- 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 | OS2920 | FL | Primary |
Addresses
Primary practice location
180 Patricia Ave
Dunedin, FL 34698-8103
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00316166 | Other | FL | RAILROAD MEDICARE NUMBER |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2920 | FL | MD | Marriage & Family Therapist |
| OS2920 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952350837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-532-0002",
"fax_number": "727-532-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PATRICIA AVE",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346988103",
"telephone_number": "727-733-4193",
"fax_number": "727-736-3609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "BOBBY",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS2920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00316166",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.