GARY W BAILEY DO PC
NPI 1164611836
General Practice in Grand Rapids, MI

Active since October 18, 2007
2525 BURTON ST SE, GRAND RAPIDS, MI 49546(616) 957-2410(616) 957-2411 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2018, May 17, 2018 (2 updates tracked since 2018).

About Gary W Bailey Do Pc NPPES

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

GARY W BAILEY DO PC (NPI 1164611836) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since October 2007. The organization lists Gary Willis Bailey, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1164611836
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGARY W BAILEY DO PC
Location Address2525 BURTON ST SEGrand Rapids, MI 49546
Mailing Address2525 Burton St SeGrand Rapids, MI 49546-4834 · (616) 957-2410 · Fax (616) 957-2411
Fax(616) 957-2411
Organization SubpartNo
Authorized OfficialGary Willis BaileyPhysician/owner · (616) 957-2410
Enumeration DateOctober 18, 2007
Last NPPES UpdateJune 19, 20182 updates tracked since enumeration
NPI 1164611836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MI · 5101007477
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
2525 BURTON ST SE, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine
2525 BURTON ST SE
GRAND RAPIDS, MI 49546

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 Gary W Bailey Do PC's NPI number?

The NPI number for Gary W Bailey Do PC is 1164611836. It was assigned to this organization in the NPPES registry on October 18, 2007.

Where is Gary W Bailey Do PC located?

Gary W Bailey Do PC is located at 2525 Burton St SE, Grand Rapids, MI 49546. The listed phone number is (616) 957-2410.

What is Gary W Bailey Do PC'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 Gary W Bailey Do PC was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.