Provider Demographics
NPI:1518961853
Name:BAILEY, ROYCE K (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROYCE
Middle Name:K
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:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 HOSPITAL DR
Practice Address - Street 2:STE 1D
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5248
Practice Address - Country:US
Practice Address - Phone:828-684-2234
Practice Address - Fax:828-209-5338
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31429207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12664OtherBCBS NC INDIVIDUAL #
SCNPA709Medicaid
NCP01029253OtherRR MEDICARE
NC8912664Medicaid
NC0227UOtherBCBS NC GROUP #
SCNPA709Medicaid
NC8912664Medicaid
NC8912664Medicaid