Active NPI
Barry Todd White, M.D.
- Family Medicine Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40544
- Practice address
- 298 Bogle St Ste a
Somerset, KY 42503-2836 - Phone
- (606) 679-9213
- Fax
- (606) 677-9963
- NPI assigned
- May 23, 2005
- Last updated
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40544 | KY | Primary |
Addresses
Primary practice location
298 Bogle St Ste a
Somerset, KY 42503-2836
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7835
Other practice location 1
30 Tower Cir
Med Park West
Somerset, KY 42503-3476
Phone (606) 451-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64126147 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40544 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Russell County Hospital | Current | Accepting new patients | |
| Russell County Hospital | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Russell County Hospital | Family Medicine | Current | Accepting new patients |
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Past | Accepting new patients | |
| Saint Joseph Health System, Inc. | Past | Accepting new patients |
Locations
153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141
30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644
Interoperability endpoints
- bwhite354433@direct.stlukeshealth.org
Organizations & group practices 9
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.
-
dba Lake Cumberland Orthopedics
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
-
- Certified Registered Nurse Anesthetist
- Russell Springs, KY
- NPI 1437245842
-
dba Monticello Medical Associates
- Federally Qualified Health Center (FQHC)
- Monticello, KY
- NPI 1063007672
-
dba Gastroenterology of Lake Cumberland
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
-
dba Lake Cumberland Family Care
- Family Medicine Physician
- Somerset, KY
- NPI 1437440054
-
dba Primary Care Associates of Russell County
- Rural Health Clinic/Center
- Russell Springs, KY
- NPI 1295245025
-
- Hematology & Oncology Physician
- Lexington, KY
- NPI 1659624435
-
- Hematology & Oncology Physician
- London, KY
- NPI 1740550615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1609879758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 BOGLE ST STE A",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032836",
"telephone_number": "606-679-9213",
"fax_number": "606-677-9963"
}
],
"practiceLocations": [
{
"address_1": "30 Tower Cir",
"address_2": "Med Park West",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425033476",
"country_code": "US",
"telephone_number": "606-451-8644",
"fax_number": "606-451-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "BARRY",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "40544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64126147",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.