MEDICARE: JOSEPH BRADY BAILEY M.D., M.B.A.

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	207Q00000X	Family Medicine Physician	9955	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265451827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH BRADY BAILEY M.D., M.B.A.

Provider Business Mailing Address
First Line	:	269 S BEVERLY DR
Second Line	:	#1008
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3851
Country	:	US
Telephone Number	:	702-821-5732
Fax Number	:	702-878-4313

Provider Business Practice Location Address
First Line	:	269 S BEVERLY DR
Second Line	:	#1008
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3851
Country	:	US
Telephone Number	:	702-821-5732
Fax Number	:	702-878-4313

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	09/03/2009

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