MEDICARE: KENNETH M. 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	2085R0202X	Diagnostic Radiology Physician	043420	CT
2	2085R0202X	Diagnostic Radiology Physician	ME94058	FL
3	2085R0202X	Diagnostic Radiology Physician	056261	GA
4	2085R0202X	Diagnostic Radiology Physician	36113410	IL
5	2085R0202X	Diagnostic Radiology Physician	01060500A	IN
6	2085R0202X	Diagnostic Radiology Physician	39378	KY
7	2085R0202X	Diagnostic Radiology Physician	224194	MA
8	2085R0202X	Diagnostic Radiology Physician	200500649	NC
9	2085R0202X	Diagnostic Radiology Physician	25MA07974400	NJ
10	2085R0202X	Diagnostic Radiology Physician	35086092	OH
11	2085R0202X	Diagnostic Radiology Physician	MD426019	PA
12	2085R0202X	Diagnostic Radiology Physician	0101238049	VA
13	2085R0202X	Diagnostic Radiology Physician	21414	WV

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	:	1851351472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH M. BAILEY MD

Provider Business Mailing Address
First Line	:	12210 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-9211
Country	:	US
Telephone Number	:	865-985-7186
Fax Number	:

Provider Business Practice Location Address
First Line	:	12210 BRUCE B DOWNS BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-9211
Country	:	US
Telephone Number	:	865-985-7186
Fax Number	:

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/08/2008

Similar Medicare Providers

1740238666 — TAMPA VAMC
Practice Location Address:

12210 BRUCE B DOWNS BLVD
TAMPA, FL
33612-9211

Practice Phone: 813-903-4885
Practice Fax: 813-829-1283

1639168529 — JOHN M KOVAL M.D.
Practice Location Address:

12206 BRUCE B DOWNS BLVD , STE 101
TAMPA, FL
33612-9211

Practice Phone: 813-971-8276
Practice Fax: 813-971-8277

1396867586 — STANLEY ALLAN ORDMAN MD
Practice Location Address:

12210 BRUCE B DOWNS BLVD
TAMPA, FL
33612-9211

Practice Phone: 865-985-7186
Practice Fax:

1902177629 — INTEGRITY PROSTHETICS AND ORTHOTICS
Practice Location Address:

12206 BRUCE B DOWNS BLVD , SUITE 100
TAMPA, FL
33612-9211

Practice Phone: 813-416-5905
Practice Fax:

1235404542 — MR. DON KEITH RICHIE
Practice Location Address:

12210 BRUCE B DOWNS BLVD
TAMPA, FL
33612-9211

Practice Phone: 813-972-2000
Practice Fax:

1972934024 — SUMAIYA KHAN
Practice Location Address:

12210 BRUCE B DOWNS BLVD
TAMPA, FL
33612-9211

Practice Phone: 813-972-2000
Practice Fax:

Directions to “ KENNETH M. BAILEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.