# JAMES L BAILEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639166713
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01029149A | IN | Yes |
| 208800000X | Urology Physician | 16906 | KY | — |

## Other

- **Enumeration date:** 10/04/2005
- **Last updated:** 01/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100362060 | — | IN |
| 01 | — | 340004941 | RR MCR | KY |
| 01 | — | 340008066 | RR MCR | IN |
| 05 | — | 64169063 | — | KY |