Provider Demographics
NPI:1093787897
Name:BAILEY, BOYD LEE II (MD)
Entity Type:Individual
Prefix:
First Name:BOYD
Middle Name:LEE
Last Name:BAILEY
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1023 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6750
Mailing Address - Country:US
Mailing Address - Phone:334-875-4184
Mailing Address - Fax:334-874-3473
Practice Address - Street 1:1023 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-6750
Practice Address - Country:US
Practice Address - Phone:334-875-4184
Practice Address - Fax:334-874-3473
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2013-02-19
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Provider Licenses
StateLicense IDTaxonomies
AL00008853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051521539OtherBLUE CROSS BLUE SHIELD
ALC71957OtherHEALTHSPRING OF AL
AL0110570OtherUNITED HEALTHCARE
O00141374OtherRAILROAD MEDICARE
ALC71957OtherVIVA HEALTH
AL051521539Medicaid
AL051521539OtherBLUE CROSS BLUE SHIELD
ALC71957Medicare UPIN