Bryan D. Barnes, Inc.
Organization Active NPI Family Medicine Physician · Joplin, MO
NPI 1487981445 · NPPES record last updated Nov 8, 2019
Key facts
- NPI
- 1487981445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BRYAN D. BARNES, INC.
- Practice address
- 1901 E 32ND St Ste 4
Joplin, MO 64804-3071 - Phone
- (417) 781-0250
- Fax
- (417) 781-2581
- NPI assigned
- Nov 12, 2009
- Organization subpart
- No
Authorized official
- Name
- Bryan D Barnes
- Title
- DO
- Phone
- (417) 781-0250
Practitioners 12
-
Bryan D Barnes, DO
-
Aaron M Garcia, NP
-
Michelle Heger, MSN, APRN, FNP-BC
-
Joe Kiplyan Moseley, APRN
-
Carl David Eastep, PA-C
-
Asefa K Gebre, PSYCH CAQ DMSC,PA-C
-
Kevin Michael Stokes, PA-C
-
Jeffery Alan Tichenor, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100517000101 | MO | Part B Supplier - Clinic/Group Practice | 4183752983 |
Receives reassigned benefits from 12 practitioners Practice locations: Joplin, MO |
National Provider Directory
Locations
1002 McIntosh Cir
Ste 6
Joplin, MO 64804
Phone (417) 347-8055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1901 E 32ND St Ste 4
Joplin, MO 64804-3071
Mailing address
PO Box 2511
Joplin, MO 64803-2511
Phone (417) 781-0250
NPI Registry JSON
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1487981445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2511",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032511",
"telephone_number": "417-781-0250",
"fax_number": "417-781-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 E 32ND ST STE 4",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043071",
"telephone_number": "417-781-0250",
"fax_number": "417-781-2581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN D. BARNES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-12",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DO",
"authorized_official_telephone_number": "417-781-0250"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.