Derrick A Bailey, MD
Internal Medicine in Plainville, CT. Individual provider (NPI-1).
NPI number1053508945
StatusActive
Last updated in NPPESOct 9, 2015
Details
- NPI
- 1053508945
- Entity type
- Individual (NPI-1)
- Name
- Derrick A Bailey
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2007
- Last updated
- Oct 9, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 23594 | CT | Yes |
Practice location
240 East StPlainville, CT 06062-2935
Phone 860-747-4541 · Fax 860-793-1218
Mailing address
1900seport St Lucie BlvdPort Saint Lucie, FL 34952-5554
Phone 772-335-2614
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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