Robert Bailey, MD

Individual provider Active NPI Nephrology Physician · Bloomfield, CT

NPI 1962941583 · NPPES record last updated Feb 15, 2017

Key facts

NPI
1962941583
Entity type
Individual (NPI type 1)
Primary specialty
Nephrology Physician 207RN0300X
License
031017 (CT)
Practice address
5 Loeffler Rd
Bloomfield, CT 06002-2255
Phone
(860) 324-4945
NPI assigned
Feb 15, 2017
Sex
Male
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

LicenseStateTypeSpecialty
031017CTMDNephrology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 031017 CT Yes

Addresses

Primary practice location

5 Loeffler Rd
Bloomfield, CT 06002-2255

Mailing address

515 Everglades Dr
Venice, FL 34285-3308
Phone (860) 324-4945

Other providers in Bloomfield, CT

All providers in Bloomfield, CT · Nephrology Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.