Search › Alabama › 208D00000X
Jinyong Bae, DO
NPI 1336641877 · on the registry since 2018
Practice
- Address
- 301 Andrews Ave
Fort Novosel, AL 36362 - Phone
- (334) 255-7040
- Fax
- (877) 374-1656
- Organisation at this address
- Ahc Lyster-Rucker
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX
- 590 Medical Center Road, Fort Cavazos, TX
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 390200000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama