Active NPI
Barry Lee Gardner, M.D.
- Radiation Oncology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 44618
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74632043 | Medicaid | CO |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44618 | CO | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Springs Urological Associates LLC | Current | Accepting new patients | |
| Colorado Springs Urological Associates LLC | Current | 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 | Past | 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
- bgardner@centurycancercenters.direct.varian.com
- bgardner@ua.gwaydirect.com
- 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.
-
- Urology Physician
- Colorado Springs, CO
- NPI 1649704826
-
- Urology Physician
- Colorado Springs, CO
- NPI 1356305114
-
- Radiation Oncology Physician
- Boulder, CO
- NPI 1154563807
-
- Radiation Oncology Physician
- Wheat Ridge, CO
- NPI 1679589477
-
- Specialist
- Thornton, CO
- NPI 1457651705
-
- Radiation Oncology Clinic/Center
- Thornton, CO
- NPI 1043355571
-
- Specialist
- Golden, CO
- NPI 1194020156
-
- Specialist
- Aurora, CO
- NPI 1346297421
-
- Radiation Oncology Physician
- Denver, CO
- NPI 1700046166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.