Active NPI
Terrence W Coleman, MD
- Gastroenterology Physician
- Liberty, MO
National Provider Identifier
1124021134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R8D65
- Practice address
- 2521 Glenn Hendren Dr Ste 411B
Liberty, MO 64068-3388 - Phone
- (816) 429-6057
- Fax
- (816) 429-5709
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R8D65 | MO | Primary |
Addresses
Primary practice location
2521 Glenn Hendren Dr Ste 411B
Liberty, MO 64068-3388
Mailing address
2521 Glenn Hendren Dr Ste 411B
Liberty, MO 64068-3388
Phone (816) 429-6057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R8D65 | Other | MO | MEDICAL LICENSE |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8D65 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Gastroenterology, PC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Independence, MO
- NPI 1932189768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1124021134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 GLENN HENDREN DR STE 411B",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683388",
"telephone_number": "816-429-6057",
"fax_number": "816-429-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 GLENN HENDREN DR STE 411B",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683388",
"telephone_number": "816-429-6057",
"fax_number": "816-429-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TERRENCE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "R8D65",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "R8D65",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.