Brian Andrew Bark, M.D.

Key facts

NPI

1124382072

Entity type

Individual (NPI type 1)

Primary specialty

Anesthesiology Physician 207L00000X

License

01076003A (IN)

Practice address

1606 N 7TH St
Terre Haute, IN 47804-2780

Phone

(812) 238-7000

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Iceland Anesthesia Management, LLC Anesthesiology Physician · Terre Haute, IN · NPI 1912578667
  Medicare reassignment Care Compare group NPD IN · SINGLE SPECIALTY
• Jebs Anesthesia Consultants, LLC Anesthesiology Physician · La Porte, IN · NPI 1790447761
  Medicare reassignment NPD IN · SINGLE SPECIALTY
• Southeast Anesthesiologists, Inc. Anesthesiology Physician · Indianapolis, IN · NPI 1548210685
  Medicare reassignment NPD IN · SINGLE SPECIALTY
• Clinical Colleagues Inc Anesthesiology Physician · Van Wert, OH · NPI 1992725766
  Medicare reassignment NPD IN · SINGLE SPECIALTY

Hospital & facility affiliations 2

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

• Union Hospital Inc. General Acute Care Hospital · Terre Haute, IN · NPI 1619975331
  Care Compare affiliation Hospital
• Union Hospital, Inc General Acute Care Hospital · Terre Haute, IN · NPI 1821859752
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Anesthesiology

Education

Indiana University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iceland Anesthesia Management LLC (75 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital · Terre Haute, IN · CCN 150023

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2024.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1124382072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 BRIDLEWOOD LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478029269",
            "telephone_number": "317-790-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042780",
            "telephone_number": "812-238-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARK",
        "first_name": "BRIAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01076003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Terre Haute, IN · Anesthesiology Physician in Indiana