Provider Demographics
NPI:1841245032
Name:BAILEY, MICHAEL LYNN (CRNA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LYNN
Last Name:BAILEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 7TH AVENUE SOUTH
Mailing Address - Street 2:CHILDREN'S OF ALABAMA
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233
Mailing Address - Country:US
Mailing Address - Phone:205-638-3488
Mailing Address - Fax:205-638-3173
Practice Address - Street 1:1600 7TH AVENUE SOUTH
Practice Address - Street 2:CHILDREN'S OF ALABAMA
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-638-3488
Practice Address - Fax:205-638-3173
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1028749367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000000238OtherBLUE CROSS
AL000000238Medicaid
AL01752572OtherMISSISSIPPI MEDICAID
AL291510038OtherRAILROAD MEDICARE
AL4549OtherHEALTHSPRING
AL430061513OtherRAILROAD MEDICARE
ALC75954OtherVIVA
AL000000238OtherBLUE CROSS