Active NPI
Brian Conley, M.D.
- Pediatrics Physician
- Jefferson City, MO
National Provider Identifier
1093746653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R3G39
- Practice address
- 3348 American Ave
Jefferson City, MO 65109-1079 - Phone
- (573) 761-7210
- Fax
- (573) 634-5990
- NPI assigned
- Jul 5, 2006
- Last updated
- Oct 18, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R3G39 | MO | Primary |
Addresses
Primary practice location
3348 American Ave
Jefferson City, MO 65109-1079
Mailing address
3348 American Ave
Jefferson City, MO 65109-1079
Phone (573) 761-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202365201 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 86.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3G39 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Ctr of Central Missouri | Past | Accepting new patients | |
| Community Health Ctr of Central Missouri | Past | Accepting new patients |
Interoperability endpoints
- brian.conley.p1@direct.chccmo.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Linn, MO
- NPI 1538213244
-
dba Community Health Center of Central Missouri-Christy Drive
- Federally Qualified Health Center (FQHC)
- Jefferson City, MO
- NPI 1972001386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1093746653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3348 AMERICAN AVE",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651091079",
"telephone_number": "573-761-7210",
"fax_number": "573-634-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3348 AMERICAN AVE",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651091079",
"telephone_number": "573-761-7210",
"fax_number": "573-634-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R3G39",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202365201",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
- Community Health Ctr of Central Missouri
- Community Health Ctr of Central Missouri (Community Health Center of Central Missouri-Christy Drive)
- Community Hospices of America LLC (Hospice Compassus - Central Missouri)
- Community Hospices of America, LLC (Hospice Compassus - Central Missouri)
- Comprehensive Pharmaceutical Services, Inc. (G.L.O. and Associates)
- Stacy Lynn Conley, LPC
- Breanna Connor
- Benjamin Robert Cook, DO
- Lauren Platt Cook, M.D.
- Aaron Cooper, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.