NPIMap

Individual provider Active NPI

Bradley Hunter Barrett, M.D.

  • Family Medicine Physician
  • Neodesha, KS
National Provider Identifier
1093781775
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-21268 Issued in KS
Practice address
2600 Ottawa Rd Ste 101
Neodesha, KS 66757-1897
Phone
(620) 325-2622
Fax
(620) 325-8468
NPI assigned
Feb 23, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-21268 KS Primary

Addresses

Primary practice location

2600 Ottawa Rd Ste 101
Neodesha, KS 66757-1897

Mailing address

PO Box 360
Neodesha, KS 66757-0360
Phone (620) 325-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000206 KS Practitioner - Family Practice 8224925979 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Neodesha, KS

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson County HospitalGroup PAC ID 0042273971, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

2600 Ottawa Rd
Suite 101
Neodesha, KS 66757-1897
Phone (620) 325-5439

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-21268KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Hospital CurrentSince Jul 15, 2005 Accepting new patients
Wilson County Hospital Current Accepting new patients
Wilson County Hospital Current Accepting new patients
Wilson County Hospital CurrentSince Jul 15, 2005 Accepting new patients

Locations

203 W Main St
Cherryvale, KS 67335
Phone (620) 336-2131

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

2600 Ottawa Rd
Ste 101
Neodesha, KS 66757
Phone (620) 325-2500

Interoperability endpoints

  • Direct secure messaging: bradley.barrett@khindirect.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1093781775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667570360",
            "telephone_number": "620-325-2611",
            "fax_number": "620-325-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OTTAWA RD STE 101",
            "city": "NEODESHA",
            "state": "KS",
            "postal_code": "667571897",
            "telephone_number": "620-325-2622",
            "fax_number": "620-325-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "BRADLEY",
        "middle_name": "HUNTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-21268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neodesha, KS

Sources for this page

Verify at the official NPI Registry.