MEDICARE: DR. JOHN BRADLEY BAIRD M.D.

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	R7H22	MO
2	207RC0000X	Cardiovascular Disease Physician	R7H22	MO

General Provider Information

NPI Number	:	1659363919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BRADLEY BAIRD M.D.

Provider Business Mailing Address
First Line	:	799 CUTTERS CORNER LN
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-7657
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 E BROADWAY STE 300
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-8023
Country	:	US
Telephone Number	:	573-256-7700
Fax Number	:	573-256-3003

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	02/25/2026

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Directions to “ DR. JOHN BRADLEY BAIRD M.D.” Practice Location

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