Active NPI
Henry Charles Barry, M.D.
- Family Medicine Physician
- East Lansing, MI
National Provider Identifier
1154362457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301046257
- Practice address
- 804 Service Rd
Room A142
East Lansing, MI 48824-1313 - Phone
- (517) 353-3050
- Fax
- (517) 432-3742
- NPI assigned
- Jun 9, 2006
- 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 | 4301046257 | MI | Primary |
Addresses
Primary practice location
804 Service Rd
Room A142
East Lansing, MI 48824-1313
Mailing address
804 Service Rd Room B100
Department of Family Medicine
East Lansing, MI 48824-1313
Phone (517) 884-0429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2573470 | Medicaid | MI | |
| 1154362457 | Medicaid | MI |
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 |
|---|---|---|---|
| 4301046257 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | 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.
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1154362457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD ROOM B100",
"address_2": "DEPARTMENT OF FAMILY MEDICINE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241313",
"telephone_number": "517-884-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SERVICE RD",
"address_2": "ROOM A142",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241313",
"telephone_number": "517-353-3050",
"fax_number": "517-432-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "HENRY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301046257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2573470",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154362457",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.