NPI 1316005143 · live from the CMS NPI Registry
Ronald Wesley Bailey, M.D.
Radiology, Diagnostic Radiology in Mountain Home Afb, ID. National Provider Identifier 1316005143, active.
NPI record
| NPI | 1316005143 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 |
| Practice phone | 208-828-7815 |
| Mailing address | 708 Michaels Crk, Evans, GA 30809 |
| Enumerated | December 5, 2006 |
| Last updated | May 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 66563 (GA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 2000-00713 (NC) |
| General Practice | 208D00000X | 66563 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.