Healthcare Provider Details

I. General information

NPI: 1467141275
Provider Name (Legal Business Name): BAILEY N SPERRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 E MUIRWOOD DR STE 105
PHOENIX AZ
85048-7693
US

IV. Provider business mailing address

4530 E MUIRWOOD DR STE 105
PHOENIX AZ
85048-7693
US

V. Phone/Fax

Practice location:
  • Phone: 480-961-2307
  • Fax: 480-961-0419
Mailing address:
  • Phone: 480-961-2307
  • Fax: 480-961-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number78672
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: