Provider Demographics
NPI:1982010203
Name:BAILEY, OMAVI (MD MPH)
Entity type:Individual
Prefix:DR
First Name:OMAVI
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 PITTS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4464
Mailing Address - Country:US
Mailing Address - Phone:833-327-5337
Mailing Address - Fax:915-272-5367
Practice Address - Street 1:2501 BRAGG BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4141
Practice Address - Country:US
Practice Address - Phone:833-327-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3791207QS1201X, 207QS1201X
AZ55355207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty