Individual provider Active NPI

Brian Edward Barkley, D.O.

  • Pediatrics Physician
  • Waco, TX
National Provider Identifier
1093158388
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q7837 Issued in TX
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

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219000129 TX Practitioner - Pediatric Medicine 0143581942 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10047231TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Family Health Center Pediatrics CurrentSince Jan 8, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.