BREANN LYN BAILEY (NPI# 1306876099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306876099 |
| Entity Type | Individual |
| Full Name | BREANN LYN BAILEY |
| Credential | MD |
| Practice Address |
202 8th St Radford VA 24141-2426 |
| Practice Telephone | 5406395188 |
| Practice Fax Number | 5406399215 |
| Mailing Telephone | 5406395188 |
| Mailing Fax Number | 5406399215 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101246067 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 27148 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 379826 | 01 |
| SC | BCBS | 576007863102 | 01 |
| VA | AETNA | 7200954 | 01 |
| SC | 271486 | 05 | |
| VA | CIGNA | 7123334 | 01 |
| Street Address |
202 8TH ST |
| City | RADFORD |
| State | VA |
| Zip Code | 24141-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669931101 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 202 8th St, Radford, VA 24141-2426 | 2019-03-14 |
| 1689140972 | Tennille C Curtis | Nurse Practitioner | 202 8th St, Radford, VA 24141-2426 | 2018-10-15 |
| 1598020109 | Laura Elizabeth Gregory | Physician Assistant | 202 8th St, Radford, VA 24141-2426 | 2012-07-10 |
| 1659595502 | Amanda E Preedom | Pediatrics | 202 8th St, Radford, VA 24141-2426 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659595502 | Amanda E Preedom | Pediatrics | 202 8th St, Radford, VA 24141-2426 | 2007-04-12 |
| 1952414930 | John F Ogburn IIi | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-08-16 |
| 1144239039 | Child Adolescent Health Associates of The New River Valley PC | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-08-07 |
| 1407864127 | Zairha Gonzalez Snider | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-08-05 |
| 1407810245 | Timothy S Walker | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-04-17 |
| 1588628416 | William Henry Cook | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-04-17 |
| 1265496004 | Robert F Stickley | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-04-17 |
| 1144284365 | Paul G Vaccaro Jr. | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-04-14 |
| 1396709572 | Paul G Mcelroy | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-04-14 |
| 1831153014 | Florence H Mogen | Pediatrics | 200 8th St, Radford, VA 24141-2426 | 2006-04-14 |
| Find all providers in RADFORD | ||||
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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.