NPI Code Details Logo

NPI 1255309340

NPI 1255309340 : JOSEPH BAILEY WALSH D.O. : BRADENTON, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255309340
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOSEPH BAILEY WALSH D.O.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/14/2006
-----------------------------------------------------
    Last Update Date     |    02/17/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4624 4TH AVE NE 
-----------------------------------------------------
    City                 |    BRADENTON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34208-5412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    941-216-7889
-----------------------------------------------------
    Fax                  |    941-417-8008
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4654 E STATE ROAD 64 STE 509 
-----------------------------------------------------
    City                 |    BRADENTON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34208-9029
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    941-243-9613
-----------------------------------------------------
    Fax                  |    941-417-8008
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208M00000X
-----------------------------------------------------
    Taxonomy Name        |    Hospitalist Physician
-----------------------------------------------------
    License Number       |    OS7739
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    OS7739
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.