Healthcare Provider Details

I. General information

NPI: 1942492426
Provider Name (Legal Business Name): ZACHARY MAX BAILEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 W WASHINGTON ST
BURNS OR
97720-1441
US

IV. Provider business mailing address

557 W WASHINGTON ST
BURNS OR
97720-1441
US

V. Phone/Fax

Practice location:
  • Phone: 541-573-7281
  • Fax: 541-573-8627
Mailing address:
  • Phone: 541-573-7281
  • Fax: 541-573-8627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD29025
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5010711205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: