NPI 1255446548 · live from the CMS NPI Registry
Bradley C. Bailey, PA-C
Physician Assistant, Medical in Princeton, WV. National Provider Identifier 1255446548, active.
NPI record
| NPI | 1255446548 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 122 12th St, Princeton, WV 24740 |
| Practice phone | 304-487-7726 |
| Enumerated | August 20, 2006 |
| Last updated | August 28, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 01160 (WV) |
| Physician Assistant, Medical primary | 363AM0700X | 483 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.