Provider Demographics
NPI:1386691673
Name:BAILEY, FRANK AMOS (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:AMOS
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 BANNOCK ST
Mailing Address - Street 2:DENVER HEALTH MEDICAL CENTER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4507
Mailing Address - Country:US
Mailing Address - Phone:303-602-5011
Mailing Address - Fax:303-602-2719
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:DENVER HEALTH MEDICAL CENTER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:303-602-5011
Practice Address - Fax:303-602-2719
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053876207RH0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051504070Medicare ID - Type Unspecified
AL051099888Medicare ID - Type Unspecified
AL051099888OtherBLUE CROSS
AL051099888Medicare ID - Type Unspecified
ALP00283172OtherRAILROAD MEDICARE
AL009933811Medicaid
AL051504070Medicare ID - Type Unspecified