Individual provider Active NPI

Barry Hoyle Teasley, MD

  • Ophthalmology Physician
  • Goldsboro, NC
National Provider Identifier
1598759235
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25961 Issued in NC
Practice address
103 Cox Blvd
Goldsboro, NC 27534-9478
Phone
(919) 734-8440
Fax
(919) 734-9387
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25961 NC Primary

Addresses

Primary practice location

103 Cox Blvd
Goldsboro, NC 27534-9478

Mailing address

103 Cox Blvd
Goldsboro, NC 27534-9478
Phone (919) 734-8440

Other identifiers 2

IdentifierTypeStateIssuer
82337OtherNCBCBSNC
8982337MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220811002999 NC Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 6709921034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25961NCMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1598759235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "BARRY",
        "middle_name": "HOYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "25961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "82337",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8982337",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.