Active NPI
Brian A Barry, DC
- Chiropractor
- Salmon, ID
National Provider Identifier
1609962208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA 1282
- Practice address
- 818 Main St
Suite F
Salmon, ID 83467-4350 - Phone
- (208) 756-1428
- NPI assigned
- Oct 4, 2006
- Last updated
- Jan 8, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06485 | IA | |
| Chiropractor | 111N00000X | 1171 | MT | |
| Chiropractor | 111N00000X | CHIA 1282 | ID | Primary |
Addresses
Primary practice location
818 Main St
Suite F
Salmon, ID 83467-4350
Mailing address
818 Main St
Suite F
Salmon, ID 83467-4350
Phone (208) 756-1428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253823 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1911 Main St
Salmon, ID 83467-4512
Phone (208) 756-2211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171 | MT | MD | Professional Counselor |
| 06485 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Salmon, ID
- NPI 1083899124
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1154512325
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1609962208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 MAIN ST",
"address_2": "SUITE F",
"city": "SALMON",
"state": "ID",
"postal_code": "834674350",
"telephone_number": "208-756-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 MAIN ST",
"address_2": "SUITE F",
"city": "SALMON",
"state": "ID",
"postal_code": "834674350",
"telephone_number": "208-756-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "BRIAN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06485",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1171",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA 1282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0253823",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salmon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.