Individual
DR. JOHN IRA BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7962
AL
2084P0800X
Psychiatry Physician
Primary
7962
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00102751361
AMA MEDICAL EDUCATION NO.
—
01
—
051076187
BLUE CROSS BLUE SHIELD
AL
01
—
51076187
BLUE CROSS BLUE SHIELD
AL
01
—
76187
BLUE CROSS BLUE SHIELD
AL
01
—
7962
MEDICAL LICENSE NUMBER
AL
Enumeration date
10/02/2005
Last updated
02/01/2010
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