Provider Demographics
NPI:1952325094
Name:BAILEY, THOMAS PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PATRICK
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 1:421 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-1918
Mailing Address - Country:US
Mailing Address - Phone:812-547-0475
Mailing Address - Fax:812-547-6830
Practice Address - Street 1:421 7TH STREET
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-1918
Practice Address - Country:US
Practice Address - Phone:812-547-0475
Practice Address - Fax:812-547-1300
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01050864A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200246250BMedicaid
IN206570Medicare PIN
INHO3914Medicare UPIN