National Provider Identifier Database

EVAN P BAILEY, MD – NPI #1720240047
Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


Contact Information

EVAN P BAILEY, MD
55 LAKE AVE N
PEDIATRIC PULMONOLOGY
WORCESTER, MA01655-0002
Phone: 508-856-4155
Fax: 508-856-2609
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for EVAN P BAILEY

NPI Number 1720240047
Credentials MD
Entity Individual
Enumeration date 06/27/2008
Last updated 11/09/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 247765
  • MA Medicaid: 110093403A
  • MA Other: S400154811 MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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