Provider Demographics
NPI:1407341423
Name:BAILEY, TRENT ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:ROBERT
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 1:3508 MEANDERING CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-0155
Mailing Address - Country:US
Mailing Address - Phone:763-350-8244
Mailing Address - Fax:
Practice Address - Street 1:3508 MEANDERING CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-0155
Practice Address - Country:US
Practice Address - Phone:763-350-8244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021024762207R00000X, 208M00000X
MO2018020041207R00000X
WI80145208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine