Individual provider Active NPI

Scott Earl Barry, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1306994975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7685 Issued in FL
Practice address
4624 N Armenia Ave
Tampa, FL 33603-2706
Phone
(813) 874-2646
Fax
(813) 874-2656
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7685 FL Primary

Addresses

Primary practice location

4624 N Armenia Ave
Tampa, FL 33603-2706

Mailing address

4624 N Armenia Ave
Tampa, FL 33603-2706
Phone (813) 874-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000873 FL Practitioner - Chiropractic 1951490531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Bay City Rehab and Wellness Inc.Group PAC ID 7315266129, 2 clinicians

Practice addresses (Care Compare)

4624 N Armenia Ave
Tampa, FL 33603-2706
Phone (813) 874-2646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay City Rehab & Wellness Inc. Chiropractor CurrentSince Feb 2, 2015 Accepting new patients

Locations

4624 N Armenia Ave
Tampa, FL 33603
Phone (813) 874-2646

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306994975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-874-2646",
            "fax_number": "813-874-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-874-2646",
            "fax_number": "813-874-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "SCOTT",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.