Provider Demographics
NPI:1396739140
Name:BAILEY, ALLAN HAROLD (MD)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:HAROLD
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:104 WOODMONT BLVD
Mailing Address - Street 2:SUITE LL50
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2245
Mailing Address - Country:US
Mailing Address - Phone:615-386-2361
Mailing Address - Fax:615-386-2399
Practice Address - Street 1:2010 CHURCH STREET
Practice Address - Street 2:SUITE 420
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2010
Practice Address - Country:US
Practice Address - Phone:615-329-2141
Practice Address - Fax:615-321-0522
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2015-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000017191207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN100007065OtherRAILROAD MEDICARE
TN3019996Medicaid
TN3019995Medicaid
A98369Medicare UPIN
TN3019996Medicaid