NPIMap

Organization Active NPI

Bryan D. Barnes, Inc.

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1487981445
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Bryan D BarnesNPI 1720015613
Title
DO
Phone
(417) 781-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000101 MO Part B Supplier - Clinic/Group Practice 4183752983 Receives reassigned benefits from 12 practitioners
Practice locations: Joplin, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.