MEDICARE: DR. LAMAR E BAILEY MD

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	207R00000X	Internal Medicine Physician	20821	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00416261	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	97308	OTHER	AR	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4143611	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1174580765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAMAR E BAILEY MD

Provider Business Mailing Address
First Line	:	1211 UNION AVE STE 330
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-6655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5182 SANDERLIN AVE
Second Line	:	SUITE 3
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4354
Country	:	US
Telephone Number	:	901-685-0152
Fax Number	:	901-685-9982

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	04/24/2025

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Directions to “ DR. LAMAR E BAILEY MD” Practice Location

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