Individual provider Active NPI

James Henry Barry Jr., MD

  • Pediatrics Physician
  • Fe Warren Afb, WY
National Provider Identifier
1407289069
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31150 Issued in NE
Practice address
6900 Alden Dr
Fe Warren Afb, WY 82005-2945
Phone
(307) 773-3461
NPI assigned
Aug 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31150 NE Primary

Addresses

Primary practice location

6900 Alden Dr
Fe Warren Afb, WY 82005-2945

Mailing address

6900 Alden Dr
Fe Warren Afb, WY 82005-2945
Phone (307) 773-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240628000842 OR Practitioner - Pediatric Medicine 6608310883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31150NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umpqua Community Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Umpqua Community Health Center, Inc. Current Accepting new patients

Locations

150 NE Kenneth Ford Dr
Roseburg, OR 97470

Interoperability endpoints

  • Direct secure messaging: james.barry.1@17792.direct.athenahealth.com

Organizations & group practices 3

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": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1407289069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820052945",
            "telephone_number": "307-773-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820052945",
            "telephone_number": "307-773-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-18",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "31150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fe Warren Afb, WY

Sources for this page

Verify at the official NPI Registry.