Individual provider Active NPI

Barrett Ford Adams, M.D

  • Emergency Medicine Physician
  • Anaconda, MT
National Provider Identifier
1043365067
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00047622 Issued in WA
Practice address
401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone
(406) 563-8528
Fax
(406) 563-8694
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11928 MT
Emergency Medicine Physician 207P00000X 35686 AZ
Emergency Medicine Physician 207P00000X MD00047622 WA Primary

Addresses

Primary practice location

401 W Pennsylvania Ave
Anaconda, MT 59711-1999

Mailing address

401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500

Other practice location 1

1716 W Marine View Dr Ste C
Everett, WA 98201-2098
Phone (425) 259-0212

Other identifiers 2

IdentifierTypeStateIssuer
11928OtherMTSTATE LICENSE
1043365067OtherMTNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20090302000405 MT Practitioner - Family PracticePractitioner - Emergency Medicine 6002917630 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35686AZMDEmergency Medicine Physician
11928MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Sep 1, 2018 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda CurrentSince Sep 1, 2018 Accepting new patients

Locations

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

Organizations & group practices 4

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1043365067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8528",
            "fax_number": "406-563-8694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 W Marine View Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982012098",
            "country_code": "US",
            "telephone_number": "425-259-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BARRETT",
        "middle_name": "FORD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "11928",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "35686",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00047622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11928",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043365067",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.