DR. CHARLES JAMES BAILEY (NPI# 1265619365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265619365 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JAMES BAILEY |
| Credential | M.D. |
| Practice Address |
270 S Moon Ave Brandon FL 33511-5711 |
| Mailing Address |
6006 49th St N Ste 310 St Petersburg FL 33709-2148 |
| Practice Telephone | 8135719988 |
| Practice Fax Number | 8135719922 |
| Mailing Telephone | 7275279779 |
| Mailing Fax Number | 7275220415 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2016-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 002604 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME113143 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012769800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1639219223 | Charles Stanley Bailey IIi | Optometrist | 6351 Se 14th St, Des Moines, IA 50320-1709 | 2007-02-06 |
| 1891863627 | Charles William Bailey IIi | Dentist | 119 Church St, Huntingdon, TN 38344-0672 | 2006-12-01 |
| 1578579058 | Charles F Bailey | Family Medicine | 513 Nw 23rd St, Grand Prairie, TX 75050-3034 | 2006-08-01 |
| 1922464429 | Charles Bailey Jr. | Peer Specialist | 14202 20th Ave, Flushing, NY 11351-3000 | 2016-01-13 |
| 1518271873 | Charles William Bailey | Dentist | 1025 Foote St, Corinth, MS 38834-4911 | 2010-07-28 |
| 1245553171 | Charles Bailey | Chiropractor | 643 Greenway Rd Ste A, Boone, NC 28607-4840 | 2010-03-05 |
| 1407993017 | Charles Howard Bailey | Optometrist | 360 Minor Hall, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1639232622 | Charles William Bailey Jr. | Specialist | 8500 Shoal Creek Blvd, Bldg. 3, Suite 200, Austin, TX 78757-7591 | 2006-12-19 |
| 1245273119 | Charles Christopher Bailey Jr. | Internal Medicine | 15 Mareblu, Suite 310, Aliso Viejo, CA 92656-3015 | 2006-06-14 |
| Street Address |
270 S MOON AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943424 | Joann Basso Cundy | Nurse Practitioner | 270 S Moon Ave, Brandon, FL 33511-5711 | 2005-09-25 |
| 1275901142 | Maria Rodriguez | Physician Assistant | 270 S Moon Ave, Brandon, FL 33511-5711 | 2015-09-09 |
| 1043641467 | Alana Nicole Bulla | Physician Assistant | 270 S Moon Ave, Brandon, FL 33511-5711 | 2013-12-11 |
| 1568720860 | Misti Marie Davenport | Nurse Practitioner | 270 S Moon Ave, Brandon, FL 33511-5711 | 2012-04-25 |
| 1033209754 | Thomas Scott Gennara | Physician Assistant | 270 S Moon Ave, Brandon, FL 33511-5711 | 2006-10-13 |
| 1053348490 | Robert Martin Diana | Physician Assistant | 270 S Moon Ave, Brandon, FL 33511-5711 | 2006-06-28 |
| 1306810486 | Ignacio Gustavo Duarte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 270 S Moon Ave, Brandon, FL 33511-5711 | 2006-02-15 |
| 1821072299 | Bradley Lance Bufkin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 270 S Moon Ave, Brandon, FL 33511-5711 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427073386 | Edward E Rigdon | Surgery | 348 Crossgates Blvd, Suite 2500, Brandon, MS 39042-2700 | 2006-07-13 |
| 1144524596 | Edward E. Rigdon, M.d., Inc. | Surgery | 348 Crossgates Blvd, Suite 2500, Brandon, MS 39042-2700 | 2010-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
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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.