MEDICARE: DR. BAILEY BISHOP MCDONALD DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16778	TX

General Provider Information

NPI Number	:	1518815042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BAILEY BISHOP MCDONALD DC

Provider Business Mailing Address
First Line	:	851 LAKE CAROLYN PKWY APT 430
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-4115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7453 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	469-369-7958
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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