Individual provider Active NPI

Brent M. Adcox, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Homer, AK
National Provider Identifier
1437339454
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
7215 Issued in AK
Practice address
4201 Bartlett St Ste 201
Homer, AK 99603-7015
Phone
(907) 235-0310
Fax
(907) 235-0276
NPI assigned
Nov 7, 2007
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X M9771 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X 7215 AK Primary

Addresses

Primary practice location

4201 Bartlett St Ste 201
Homer, AK 99603-7015

Mailing address

4201 Bartlett St Ste 201
Homer, AK 99603-7015
Phone (907) 235-0310

Other identifiers 1

IdentifierTypeStateIssuer
2023301-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20110817000838 AK Practitioner - Orthopedic Surgery 6800943903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.25 of 100Reported as individual
Quality
71.53
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7215AKMDOrthopaedic Surgery of the Spine Physician
M9771TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Sep 28, 2011 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Aug 8, 2011 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Aug 8, 2011 Accepting new patients
South Texas Spinal Clinic, P.a. Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • Direct secure messaging: brent.adcox.1@14977.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1437339454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BARTLETT ST STE 201",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037015",
            "telephone_number": "907-235-0310",
            "fax_number": "907-235-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BARTLETT ST STE 201",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037015",
            "telephone_number": "907-235-0310",
            "fax_number": "907-235-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOX",
        "first_name": "BRENT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M9771",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AK",
            "license": "7215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023301-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.