Individual provider Active NPI

Barry Todd White, M.D.

  • Family Medicine Physician
  • Somerset, KY
National Provider Identifier
1609879758
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40544 Issued in KY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 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

IdentifierTypeStateIssuer
64126147MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000053 KY Practitioner - Family Practice 1850369679 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40544KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Jul 1, 2011 Accepting new patients
Russell County Hospital CurrentSince Apr 1, 2021 Accepting new patients
Russell County Hospital Current Accepting new patients
Lake Cumberland Physician Practices LLC Family Medicine CurrentSince Jul 1, 2011 Accepting new patients
Russell County Hospital Family Medicine CurrentSince Apr 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.