Healthcare Provider Details

I. General information

NPI: 1013739630
Provider Name (Legal Business Name): BRANDILYN BAILEY O'NEAL RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS BRANDILYN RACHELLE BAILEY

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM AL
35209-6804
US

IV. Provider business mailing address

2209 HEARTHWOOD CIR
BIRMINGHAM AL
35242-3155
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-1000
  • Fax:
Mailing address:
  • Phone: 205-837-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number1-124208
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: