Individual provider Active NPI

Harcharan Bains, MD

  • Psychiatry Physician
  • Bolivar, MO
National Provider Identifier
1295802403
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2006034005 Issued in MO
Practice address
1120 S Springfield Ave
Bolivar, MO 65613-2512
Phone
(417) 326-7814
Fax
(417) 326-4059
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Medical Consulting LLC 2 clinicians

Practice addresses (Care Compare)

2139 E Primrose St
Suite a
Springfield, MO 65804-4586

2139 E Primrose St a
Bibi Health
Springfield, MO 65804-4586
Phone (417) 881-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070328000347 MO Practitioner - Psychiatry 7315041530 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Project of the Ozarks CurrentSince Apr 26, 2009 Accepting new patients
AIDS Project of the Ozarks CurrentSince Apr 26, 2009 Accepting new patients
Bibi Health Psychiatry Past Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

1636 S Glenstone Ave
Ste 100
Springfield, MO 65804
Phone (417) 881-1300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2006034005 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1120 S Springfield Ave
Bolivar, MO 65613-2512

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 328-6501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2016.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1295802403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-328-6501",
            "fax_number": "417-328-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S SPRINGFIELD AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132512",
            "telephone_number": "417-326-7814",
            "fax_number": "417-326-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "HARCHARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006034005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.