Individual provider Active NPI

Barry G Hardison, MD, FASAM

  • Addiction Medicine (Internal Medicine) Physician
  • Central City, KY
National Provider Identifier
1225039258
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
23875 Issued in KY
Practice address
222 Phillip Stone Way
Central City, KY 42330-1929
Phone
(270) 754-3494
Fax
(270) 754-3499
NPI assigned
Aug 1, 2005
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23875 KY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 23875 KY Primary

Addresses

Primary practice location

222 Phillip Stone Way
Central City, KY 42330-1929

Mailing address

222 Phillip Stone Way
Central City, KY 42330-1929
Phone (270) 754-3494

Other identifiers 1

IdentifierTypeStateIssuer
64238751MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1225039258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "270-754-3494",
            "fax_number": "270-377-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "270-754-3494",
            "fax_number": "270-754-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "BARRY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD, FASAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "23875",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "23875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64238751",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, KY

Sources for this page

Verify at the official NPI Registry.