Individual provider Active NPI

Bart J Carter, M.D.

  • Specialist
  • Safford, AZ
National Provider Identifier
1407850308
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19854 Issued in AZ
Practice address
2240 W 16TH St
Safford, AZ 85546-4081
Phone
(928) 348-4030
Fax
(923) 834-0403
NPI assigned
Jun 8, 2005
Reactivated
Apr 5, 2006
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19854 AZ Primary

Addresses

Primary practice location

2240 W 16TH St
Safford, AZ 85546-4081

Mailing address

2240 W 16TH St
Safford, AZ 85546-4081
Phone (928) 348-4030

Other identifiers 1

IdentifierTypeStateIssuer
008351MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050928001203 AZ Practitioner - General Surgery 6305871336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Graham Regional Medical Center Inc CurrentSince Dec 15, 2019 Accepting new patients
James P Huish DPM LLC CurrentSince Jun 12, 2024 Accepting new patients

Locations

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

1600 S 20th Ave
Ste F
Safford, AZ 85546

2175 W 16th St
Unit A
Safford, AZ 85546
Phone (928) 348-4160

2240 W 16th St
Safford, AZ 85546
Phone (928) 348-3700

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mt Graham Regional Medical Center IncSafford, AZ, CCN 031319 Hospital Corporate Director Apr 1, 2015
Mt. Graham Regional Medical CenterSafford, AZ, CCN 03Z319 Hospital Corporate Director Apr 1, 2015
Copper Mountain ClinicSafford, AZ, CCN 038503 Rural health clinic Corporate Director Dec 20, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1407850308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-348-4030",
            "fax_number": "923-834-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-348-4030",
            "fax_number": "923-834-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BART",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "19854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.