Individual provider Active NPI

Jeffrey Paul Barstad, MD

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1134449135
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP1-0038130 Issued in TX
Practice address
509 Tucker St
McKinney, TX 75069-2713
Phone
(214) 417-6474
NPI assigned
Jun 2, 2010
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 BP1-0038130 TX Primary

Addresses

Primary practice location

509 Tucker St
McKinney, TX 75069-2713

Mailing address

509 Tucker St
McKinney, TX 75069-2713
Phone (214) 417-6474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140421001487 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6901038280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0038130TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Dec 10, 2013 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 10, 2013 Accepting new patients

Locations

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

738 E Quinlan Pkwy
Quinlan, TX 75474
Phone (903) 408-4800

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: jeffrey.barstad.1@16194.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1134449135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 TUCKER ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750692713",
            "telephone_number": "214-417-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 TUCKER ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750692713",
            "telephone_number": "214-417-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSTAD",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0038130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.