Individual provider Active NPI

Barry V Thompson, M.D.

  • Family Medicine Physician
  • Crossett, AR
National Provider Identifier
1497747646
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2641 Issued in AR
Practice address
103 E 3Rd Ave
Crossett, AR 71635-2915
Phone
(870) 364-5746
Fax
(870) 364-5745
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2641 AR Primary

Addresses

Primary practice location

103 E 3Rd Ave
Crossett, AR 71635-2915

Mailing address

103 E 3Rd Ave
Crossett, AR 71635-2915
Phone (870) 364-5746

Other identifiers 1

IdentifierTypeStateIssuer
109790001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100322000217 AR Practitioner - General Practice 0042396905

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
27.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2641ARMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1497747646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 3RD AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352915",
            "telephone_number": "870-364-5746",
            "fax_number": "870-364-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 3RD AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352915",
            "telephone_number": "870-364-5746",
            "fax_number": "870-364-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BARRY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R2641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109790001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.