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BAILEY R ROTH
NPI 1952767782
Student in an Organized Health Care Education/Training Program in Bradley, IL

Active since January 08, 2016
380 N VAN BUREN AVE, BRADLEY, IL 60915(815) 953-1019 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bailey R Roth NPPES

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

BAILEY R ROTH (NPI 1952767782) is an individual student in an organized health care education/training program in Bradley, Illinois, licensed in Illinois (2255A2300X) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1952767782
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBAILEY R ROTH
Location Address380 N VAN BUREN AVEBradley, IL 60915-1486
Mailing Address380 N Van Buren AveBradley, IL 60915-1486 · (815) 953-1019
Phone(815) 953-1019
Sole ProprietorNo
Enumeration DateJanuary 8, 2016
✔ NPI 1952767782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 2255A2300X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
380 N VAN BUREN AVE, Bradley, IL 60915
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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 Roth's NPI number?

The NPI number for Bailey Roth is 1952767782. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Bailey Roth located?

Bailey Roth practices at 380 N Van Buren Ave, Bradley, IL 60915. The listed phone number is (815) 953-1019.

What is Bailey Roth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bailey Roth was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.