Active NPI
Thomas J Legg, D.O.
- Family Medicine Physician
- Branson West, MO
National Provider Identifier
1104918457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R9466
- Practice address
- 18452 Business 13
Branson West, MO 65737-9609 - Phone
- (417) 272-8911
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R9466 | MO | Primary |
Addresses
Primary practice location
18452 Business 13
Branson West, MO 65737-9609
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-0269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25107 | Other | BLUE CROSS MO | |
| 241147040 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9466 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Services | Family Medicine | Past | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba CoxHealth Springfield Inpatient Physicians
- Hospitalist Physician
- Springfield, MO
- NPI 1902969272
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104918457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-269-0269",
"fax_number": "417-269-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18452 BUSINESS 13",
"city": "BRANSON WEST",
"state": "MO",
"postal_code": "657379609",
"telephone_number": "417-272-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGG",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R9466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MO",
"identifier": "25107",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241147040",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson West, MO
- Tara Renee Johnson
- Jennifer R Kern, MSW, LCSW
- Megan Key, MA, LPC
- Robert C Knight, LMT
- Lakeland Clinical
- Andrew M Linscott, PHARMD
- Nicholas Ryan Matthews, DDS
- Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine Branson West)
- Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-Branson West)
- Mercy Hospital Springfield (Mercy Life Line)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.