Active NPI
Barley Corn Holdings Inc
- Family Medicine Physician
- Chandler, AZ
National Provider Identifier
1205281649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BARLEY CORN HOLDINGS INC
- Doing business as
- Medi-Weightloss
- Practice address
- 6909 W Ray Rd
Suite 9
Chandler, AZ 85226-1699 - Phone
- (602) 497-4937
- Fax
- (602) 773-0910
- NPI assigned
- May 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan Bryant
- Title
- President
- Phone
- (602) 497-4937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6909 W Ray Rd
Suite 9
Chandler, AZ 85226-1699
Mailing address
521 W Monte Vista Rd
Phoenix, AZ 85003-1122
Phone (602) 497-4937
Other names 1
- Medi-Weightloss
National Provider Directory
National Provider DirectoryLocations
6909 W Ray Rd
Ste 9
Chandler, AZ 85226
Phone (480) 447-9490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463702400000",
"number": "1205281649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W MONTE VISTA RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850031122",
"telephone_number": "602-497-4937",
"fax_number": "602-773-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 W RAY RD",
"address_2": "SUITE 9",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852261699",
"telephone_number": "602-497-4937",
"fax_number": "602-773-0910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARLEY CORN HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-20",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-497-4937",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medi-Weightloss",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.