BAILEY WICKARD MD – NPI #1043960289
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BAILEY WICKARD is a physician located in CORONADO, CA. NPPES has assigned the NPI number 1043960289 to BAILEY WICKARD on March 28, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name BAILEY GRIMSLEY. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Apr 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAILEY WICKARD below.

NPI Profile for
BAILEY WICKARD

NPI Number
1043960289
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BAILEY WICKARD
Former Name: BAILEY GRIMSLEY
Credentials
MD
Primary location
601 MCCAIN BLVD
CORONADO, CA 92118
Phone: (619) 545-6210 Fax:
Mailing address
NMC SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134-0001
Phone: (619) 532-7599 Fax: (619) 532-7673
Sole Proprietor
Yes
Updated
Certification Date
Apr 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101278962

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.