Provider Demographics
NPI:1609837079
Name:BAILEY, ROBERT WOODWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WOODWARD
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: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:
Practice Address - Street 1:1881 PISGAH DRIVE
Practice Address - Street 2:BLDG. A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3760
Practice Address - Country:US
Practice Address - Phone:828-697-4336
Practice Address - Fax:828-694-6757
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00445070OtherRAILROAD MEDICARE
NC891145RMedicaid
NC1145ROtherBCBS
203785GMedicare PIN
P00445070OtherRAILROAD MEDICARE
NC1145ROtherBCBS