Individual
DR. BRANDON JAMES BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
710 N WALNUT ST, MEDICINE LODGE, KS 67104-1019
(620) 886-3771
Mailing address
6720 E SEDONA ST, DERBY, KS 67037-9408
(785) 806-3419
(785) 460-1490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
76112
KS
363LA2100X
Acute Care Nurse Practitioner
76112
KS
363LC0200X
Critical Care Medicine Nurse Practitioner
76112
KS
363LC1500X
Community Health Nurse Practitioner
76112
KS
363LF0000X
Family Nurse Practitioner
76112
KS
363LP0200X
Pediatric Nurse Practitioner
76112
KS
367500000X
Certified Registered Nurse Anesthetist
2021039113
MO
367500000X
Certified Registered Nurse Anesthetist
27175
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557653
KS
367500000X
Certified Registered Nurse Anesthetist
557653
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201088240A
—
KS
01
—
76112
KANSAS STATE LICENSE
KS
Enumeration date
08/28/2013
Last updated
03/19/2025
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