Brad Bailey
Dentist, General Practice in New York, NY. Individual provider (NPI-1).
NPI number1124773544
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1124773544
- Entity type
- Individual (NPI-1)
- Name
- Brad Bailey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2022
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 06379201 | NY | Yes |
Practice location
120 E 56th St Rm 610New York, NY 10022-3667
Phone 122-826-2322
Mailing address
120 E 56th St Rm 610New York, NY 10022-3667
Is something wrong?
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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