BAILEY WICKARD MD
NPI 1043960289
General Practice in Coronado, CA

Q: What is Bailey Wickard's NPI number?

The NPI number for Bailey Wickard is 1043960289. It was assigned to this individual provider in the NPPES registry on March 28, 2022. The provider is also known as Dr. Bailey Grimsley MD.

Q: What is Bailey Wickard's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Bailey Wickard was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2022

601 MCCAIN BLVD, CORONADO, CA 92118(619) 545-6210 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bailey Wickard Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAILEY WICKARD MD (NPI 1043960289) is an individual general practice provider in Coronado, California, licensed in Virginia (0101278962) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1043960289

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameBAILEY WICKARDCredential: MD

Location Address601 MCCAIN BLVDCoronado, CA 92118

Mailing AddressNmc San Diego 34800 Bob Wilson DriveSan Diego, CA 92134-0001 · (619) 532-7599 · Fax (619) 532-7673

Phone(619) 545-6210

Sole ProprietorYes

Enumeration DateMarch 28, 2022

Last NPPES UpdateApril 22, 2026

NPPES CertifiedApril 22, 2026

✔ NPI 1043960289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101278962

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

601 MCCAIN BLVD, Coronado, CA 92118

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Other Names 1

Former Name (1)Dr. Bailey Grimsley Md

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE YE

General Practice

601 MCCAIN BLVD
CORONADO, CA 92118

San Diego County (619) 545-6210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bailey Wickard's NPI number?

The NPI number for Bailey Wickard is 1043960289. It was assigned to this individual provider in the NPPES registry on March 28, 2022. The provider is also known as Dr. Bailey Grimsley MD.

Where is Bailey Wickard located?

Bailey Wickard practices at 601 Mccain Blvd, Coronado, CA 92118. The listed phone number is (619) 545-6210.

What is Bailey Wickard's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bailey Wickard was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.