Active NPI
Brett D Hosley, D.O.
- Neurology Physician
- Hannibal, MO
National Provider Identifier
1386623981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36947
- Practice address
- 6500 Hospital Dr
Hannibal, MO 63401-6890 - Phone
- (573) 629-3527
- Fax
- (573) 629-3514
- NPI assigned
- Jan 11, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 36947 | MO | Primary |
Addresses
Primary practice location
6500 Hospital Dr
Hannibal, MO 63401-6890
Mailing address
6500 Hospital Dr
P.O. Box 1239
Hannibal, MO 63401-6890
Phone (573) 629-3527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243300118 | Medicaid | MO |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1386623981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 HOSPITAL DR",
"address_2": "P.O. BOX 1239",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016890",
"telephone_number": "573-629-3527",
"fax_number": "573-629-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 HOSPITAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016890",
"telephone_number": "573-629-3527",
"fax_number": "573-629-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSLEY",
"first_name": "BRETT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "36947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243300118",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.