Active NPI
Edward O Barksdale, DC
- Chiropractor
- Terre Haute, IN
National Provider Identifier
1437280674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001299A
- Practice address
- 2955 S 13TH St
Terre Haute, IN 47802-3211 - Phone
- (812) 232-1901
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001299A | IN | Primary |
Addresses
Primary practice location
2955 S 13TH St
Terre Haute, IN 47802-3211
Mailing address
2955 S 13TH St
Terre Haute, IN 47802-1919
Phone (812) 232-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100155370A | Medicaid | IN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001299A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barksdale Chiropractic P.C. | Chiropractor | Past | Accepting new patients |
| Allan Mackay MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Terre Haute, IN
- NPI 1053656819
-
- Interventional Pain Medicine Physician
- Bloomington, IN
- NPI 1598950842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1437280674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 S 13TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478021919",
"telephone_number": "812-232-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 S 13TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023211",
"telephone_number": "812-232-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKSDALE",
"first_name": "EDWARD",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001299A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100155370A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.