JINYONG BAE DO – NPI #1336641877
General Practice

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

JINYONG BAE is a physician located in FORT NOVOSEL, AL. NPPES has assigned the NPI number 1336641877 to JINYONG BAE on March 01, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, 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 Jul 10, 2025. 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 JINYONG BAE below.

NPI Profile for
JINYONG BAE

NPI Number
1336641877
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JINYONG BAE
Credentials
DO
Primary location
301 ANDREWS AVE
FORT NOVOSEL, AL 36362
Phone: (334) 255-7040 Fax: (877) 374-1656
2 Other location(s):
590 Medical Center Road
Fort Cavazos, TX 76544
Phone: (254) 288-8888
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 536-0779
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 26, 2025

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)
NE 2066
390200000X
- Student in an Organized Health Care Education/Training Program

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.