DR. BRUCE E BAILEY (NPI# 1134276587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134276587 |
| Entity Type | Individual |
| Full Name | DR. BRUCE E BAILEY |
| Credential | M.D. |
| Practice Address |
88 Norwich New London Tpke Uncasville CT 06382-2518 |
| Mailing Address |
112 Lafayette St Norwich CT 06360-2737 |
| Practice Telephone | 8608481297 |
| Practice Fax Number | 8608489875 |
| Mailing Telephone | 8604258701 |
| Mailing Fax Number | 8604258707 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 030224 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CHAMPUS | C006876 | 01 |
| CT | BLUE CROSS | 010030224CT01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043747215 | Bruce Anthony Bailey | Emergency Medical Technician, Paramedic | 107 W Liberty St, Washington, GA 30673-1623 | 2017-05-18 |
| 1114299815 | Bruce Bailey | Counselor | 348 W Adams St, Burns, OR 97720-1710 | 2012-01-27 |
| 1083740526 | Bruce Raymond Bailey | Internal Medicine | 2320 Bath St, Suite 307, Santa Barbara, CA 93105-4339 | 2007-02-26 |
| 1730164625 | Bruce O Bailey | Family Medicine | 1211 Forge Rd, Suite 300, Carlisle, PA 17013-3183 | 2005-12-13 |
| Street Address |
88 NORWICH NEW LONDON TPKE |
| City | UNCASVILLE |
| State | CT |
| Zip Code | 06382-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285988 | Mihkel J Haus | Internal Medicine | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 | 2005-09-14 |
| 1821426099 | Southeastern Ct Nephrology Assoc. | Nurse Practitioner | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 | 2013-10-24 |
| 1508143223 | Alyce Elena Dow | Occupational Therapist | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | 2011-11-09 |
| 1730411505 | Erin D Rose | Occupational Therapist | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | 2010-02-04 |
| 1649422593 | Jennifer Tuohy | Physical Therapist | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | 2008-10-22 |
| 1174775241 | Janine Hrymack | Massage Therapist | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | 2008-10-21 |
| 1861692279 | Wenying Yan | Family Medicine | 88 Norwich New London Tpke, Uncasville, CT 06382-2518 | 2007-07-23 |
| 1467655225 | Deborah Elizabeth Donat | Nurse Practitioner | 88 Norwich New London Tpke, Suite #2, Uncasville, CT 06382-2518 | 2007-06-08 |
| 1306991500 | Ashely Holmberg | Physical Therapist | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | 2007-01-25 |
| 1659423598 | Todd Stephen Stelik | Occupational Therapist | 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382-2518 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336934 | Saqib Inayatullah | Internal Medicine | 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 | 2007-06-27 |
| 1730301011 | Kelly Susan Roberge | Marriage & Family Therapist | 20 Maple Ave., Uncasville, CT 06382 | 2007-05-03 |
| 1427172543 | Madeleine Sherwood Lefker | Speech-Language Pathologist | 303 Norwich New London Tpke., Uncasville, CT 06382 | 2007-03-16 |
| 1245385426 | Community Therapeutix PC | Acupuncturist | 88 Norwich New London Turnpike, Suite 1, Uncasville, CT 06382 | 2007-01-25 |
| 1619031796 | Southeastern Ct Nephrology Assoc PC | Internal Medicine | 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 | 2006-12-21 |
| 1598833725 | Orchard Grove Specialty Care Center | Nursing Facility/Intermediate Care Facility | 5 Richard Brown Drive, Uncasville, CT 06382 | 2006-12-04 |
| 1659459584 | Rachel Elizabeth Vitello | Occupational Therapist | 303 Norwich New London Turnpike, Uncasville, CT 06382 | 2006-11-01 |
| 1093739310 | Regina Ann Strand | Optometrist | 2020 Norwich New London Turnpike, Unit 8, Uncasville, CT 06382 | 2006-07-27 |
| 1225096084 | Ronald Miner Hughes | Social Worker | 20 Maple Ave, Montville, CT 06382 | 2006-05-02 |
| 1184690703 | Peter S Hahn | Internal Medicine | 2020 Norwich New London Tpke Ste 12, Uncasville, CT 06382 | 2006-02-24 |
| Find all providers in zip 06382 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588754188 | Peggy H Fujimura | Family Medicine | 1 Mohegan Sun Blvd, C/o Eagleview Employee Center, Uncasville, CT 06382-1355 | 2006-10-13 |
| 1861692279 | Wenying Yan | Family Medicine | 88 Norwich New London Tpke, Uncasville, CT 06382-2518 | 2007-07-23 |
| 1497802417 | Linda Lea Lacerte | Family Medicine | 80 Norwich New London Tpke, Uncasville, CT 06382-2527 | 2007-01-04 |
| 1780635987 | Randall P Graff | Family Medicine | 88 Norwich New London Tpke, Uncasville, CT 06382-2518 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | UNCASVILLE |
| Zip Code | 06382 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.