Active NPI
Brian Edward Barkley, D.O.
- Pediatrics Physician
- Waco, TX
National Provider Identifier
1093158388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q7837
- Practice address
- 120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949 - Phone
- (254) 202-6100
- Fax
- (254) 202-6195
- NPI assigned
- Apr 17, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10047231 | TX | |
| Pediatrics Physician | 208000000X | Q7837 | TX | Primary |
Addresses
Primary practice location
120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949
Mailing address
PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655
Other practice location 1
8600 Oakdale Dr
Woodway, TX 76712-3560
Phone (254) 722-8894
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbarkley25295@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10047231 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Health Center | Pediatrics | Current | Accepting new patients |
| Soheil Hekmat, MD, Inc. | Past | Accepting new patients |
Locations
851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500
120 Hillcrest Medical Blvd
Ste 100
Waco, TX 76712
Phone (254) 202-6100
Interoperability endpoints
- bbarkley25295@direct.sw.org
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1093158388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848476",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848476",
"telephone_number": "254-202-4655",
"fax_number": "254-202-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HILLCREST MEDICAL BLVD STE 100",
"city": "WACO",
"state": "TX",
"postal_code": "767128949",
"telephone_number": "254-202-6100",
"fax_number": "254-202-6195"
}
],
"practiceLocations": [
{
"address_1": "8600 Oakdale Dr",
"address_purpose": "LOCATION",
"city": "Woodway",
"state": "TX",
"postal_code": "767123560",
"country_code": "US",
"telephone_number": "254-722-8894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKLEY",
"first_name": "BRIAN",
"middle_name": "EDWARD",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10047231",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q7837",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbarkley25295@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "120 Hillcrest Medical Blvd Ste 100",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767128949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.