Individual provider Active NPI

Barry Lee Gardner, M.D.

  • Radiation Oncology Physician
  • Colorado Springs, CO
National Provider Identifier
1033197231
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
44618 Issued in CO
Practice address
1644 Medical Center PT
Suite 100
Colorado Springs, CO 80907-5760
Phone
(719) 247-5500
Fax
(719) 247-5437
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 44618 CO Primary

Addresses

Primary practice location

1644 Medical Center PT
Suite 100
Colorado Springs, CO 80907-5760

Mailing address

1644 Medical Center PT
Suite 100
Colorado Springs, CO 80907-5760
Phone (719) 247-5500

Other identifiers 1

IdentifierTypeStateIssuer
74632043MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000112 CO Practitioner - Radiation Oncology 4082619929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Urological Associates LLCGroup PAC ID 6709155393, 20 clinicians

Practice addresses (Care Compare)

1644 Medical Ctr PT
Suite 200
Colorado Springs, CO 80907-5765
Phone (719) 634-1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44618COMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Urological Associates LLC CurrentSince Jan 1, 2024 Accepting new patients
Colorado Springs Urological Associates LLC CurrentSince Jan 1, 2024 Accepting new patients
Boulder Cancer Center, LLC Radiation Oncology Past Accepting new patients
Red Rocks Radiation & Oncology, LLC Past Accepting new patients
Mountain Radiation Oncology Radiation Oncology Past Accepting new patients
Radiation Oncology Center of Thornton LLC Past Accepting new patients
St Anthony Regional Mountain Cancer Center, LLC Radiation Oncology Past Accepting new patients
Rocky Mountain Gamma Knife Center, LLC PastSince Jan 1, 2008 Accepting new patients
Radiation Therapy Center of Thornton, L.P. Past Accepting new patients

Locations

1644 Medical Center Pt
Colorado Springs, CO 80907
Phone (717) 776-4712

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

1644 Medical Center Pt
Ste 100
Colorado Springs, CO 80907
Phone (719) 247-5500

6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007

Networks

  • CO HMO D-SNP
  • CO HMO C-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Interoperability endpoints

  • Direct secure messaging: bgardner@centurycancercenters.direct.varian.com
  • Direct secure messaging: bgardner@ua.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1033197231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075760",
            "telephone_number": "719-247-5500",
            "fax_number": "719-247-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075760",
            "telephone_number": "719-247-5500",
            "fax_number": "719-247-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BARRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "44618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74632043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.