Brandon W Covert, DO
Individual provider Active NPI Diagnostic Radiology Physician · Joplin, MO
NPI 1639135437 · NPPES record last updated Aug 16, 2019
Key facts
- NPI
- 1639135437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2019024227 (MO)
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3503 - Phone
- (417) 347-6611
- Fax
- (417) 347-6662
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missouri Delta Medical Center
Practice addresses (Care Compare)
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
Hospital & facility affiliations
- Missouri Delta Medical Center
- Saint Francis Medical Center
- Mercy Hospital Southeast
- Poplar Bluff Regional Medical Center
- Mercy Hospital Stoddard
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MO, TX, FL, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050707000996 | MO | Practitioner - Diagnostic Radiology | 4587566914 | Reassigns benefits to 2 organizations |
| I20061030000549 | TX | Practitioner - Diagnostic Radiology | 4587566914 | Reassigns benefits to 2 organizations |
| I20110720000352 | FL | Practitioner - Diagnostic Radiology | 4587566914 | Reassigns benefits to 1 organization |
| I20220601003131 | AZ | Practitioner - Diagnostic Radiology | 4587566914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019024227 | MO | MD | Diagnostic Radiology Physician |
Practice roles (21 of 22)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Missouri Delta Medical Center | Current |
Accepting new patients | |
| Radiology Physician Solutions of West Florida, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Southwestern Ultrasound Inc. | Current |
Accepting new patients | |
| Missouri Delta Medical Center | Family Medicine | Current |
Accepting new patients |
| Eagle Partners, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Texas PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology Inc | Past | Accepting new patients | |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Largo Radiology Consultants | Past | Accepting new patients | |
| Citrus Memorial Health Foundation Inc | Past | Accepting new patients | |
| Providence Imaging Consultants, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| South Bay Hospital Outpatient Diagnostic/Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Specialists of St Joseph PC | Diagnostic Radiology | Past | Accepting new patients |
| Sheridan Radiology Services of Central Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Heartland Imaging Specialists LLC | Diagnostic Radiology | Past | Accepting new patients |
| Central Florida Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Insight Health Corp. | Diagnostic Radiology | Past |
Accepting new patients |
| Midwest Radiology, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
1625 N Campbell Ave
Tucson, AZ 85719
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
122 W Castellano Dr
El Paso, TX 79912
Phone 91557701002500
235 Forest St
Unit 686
Wausau, WI 54402
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2019024227 | MO | Yes |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3503
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-6611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 843471 | Other | BCBS KS FOR MO LOCATION | |
| 200346940D | Medicaid | KS | |
| P00364462 | Other | RR MEDICARE GROUP CK7871 | |
| 106093 | Other | BCBS KS FOR KS LOCATION | |
| 207364902 | Medicaid | MO | |
| 35466021 | Other | MO | BCBS OF KC |
Other providers in Joplin, MO
- Brett E Cotham
- Donald R Cotton
- Caleb Coulter
- Counseling Associates of the Four States, LLC
- Sara Margaret Cousins
- Kylie Cowan
- Clint Edward Cox
- Gary H Cox II
- Jeffrey Cox
- John M Cox
All providers in Joplin, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.