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DR. JINYONG BAE DO
NPI 1336641877
General Practice in Fort Novosel, AL

Active since March 01, 2018
301 ANDREWS AVE, FORT NOVOSEL, AL 36362(334) 255-7040(877) 374-1656 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Jul 11, 2024, Apr 28, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Jinyong Bae Do NPPES

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

DR. JINYONG BAE DO (NPI 1336641877) is an individual general practice provider in Fort Novosel, Alabama, licensed in Nebraska (2066) and active in the NPI registry since March 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336641877
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JINYONG BAECredential: DO
Location Address301 ANDREWS AVEFort Novosel, AL 36362
Mailing Address301 Andrews AveFort Novosel, AL 36362-5333 · (334) 255-7040 · Fax (877) 374-1656
Phone(334) 255-7040
Fax(877) 374-1656
Sole ProprietorNo
Enumeration DateMarch 1, 2018
Last NPPES UpdateJuly 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1336641877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 2066
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
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
301 ANDREWS AVE, Fort Novosel, AL 36362
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Secondary Practice Locations 2

Location 1590 Medical Center RoadFort Cavazos, TX 76544 · Phone (254) 288-8888
Location 23551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · Phone (210) 536-0779

Other Providers at the Same Location NPPES 20

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

MR. VIRGIL THOMAS SPEECE APA-C
Physician Assistant
301 ANDREWS AVE
FT RUCKER, AL 36362
Dale County (334) 255-7387
VICTOR CLEMENTS
Nurse's Aide
301 ANDREWS AVE, LAHC
FORT RUCKER, AL 36362
Dale County (334) 255-7118
DR. JOSEPH JOHN PAVELITES I MD
Preventive Medicine (Aerospace Medicine)
301 ANDREWS AVE, LYSTER ARMY MEDICAL CENTER
FORT RUCKER, AL 36362
Dale County (334) 255-7000
DR. JUSTIN CHIHYAN PAO O.D.
Optometrist
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (800) 261-7193
MATTHEW DAVID CHAPPELL PA
Physician Assistant
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (334) 255-3853
SHANICE COLEMAN MEDICAL ASSISTANT
Technician
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (333) 255-7755
MRS. MARISSA B WILLIAMS RN
Registered Nurse (Ambulatory Care)
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (334) 255-7574
JUSTIN TETREAULT RN
Registered Nurse
301 ANDREWS AVE, LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL 36362
Dale County (334) 255-7341

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 Jinyong Bae's NPI number?

The NPI number for Jinyong Bae is 1336641877. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Jinyong Bae located?

Jinyong Bae practices at 301 Andrews Ave, Fort Novosel, AL 36362. The listed phone number is (334) 255-7040.

What is Jinyong Bae'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 Jinyong Bae was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.