Individual
BREANN LYN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 8TH ST, RADFORD, VA 24141-2426
(540) 639-5188
(540) 639-9215
Mailing address
202 8TH ST, RADFORD, VA 24141-2426
(540) 639-5188
(540) 639-9215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101246067
VA
208000000X
Pediatrics Physician
27148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271486
—
SC
01
—
379826
ANTHEM
VA
01
—
576007863102
BCBS
SC
01
—
7123334
CIGNA
VA
01
—
7200954
AETNA
VA
Enumeration date
07/05/2006
Last updated
07/24/2016
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