Individual provider Active NPI

Brandon W Covert, DO

  • Diagnostic Radiology Physician
  • Joplin, MO
National Provider Identifier
1639135437
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2019024227 Issued in MO
Practice address
1102 W 32ND St
Joplin, MO 64804-3503
Phone
(417) 347-6611
Fax
(417) 347-6662
NPI assigned
Apr 21, 2006
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2019024227 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, FL, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019024227MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Jul 5, 2020 Accepting new patients
Southwestern Ultrasound Inc. CurrentSince Apr 1, 2018 Accepting new patients
Radiology Physician Solutions of West Florida, LLC Diagnostic Radiology CurrentSince Jul 5, 2020 Accepting new patients
Missouri Delta Medical Center Family Medicine CurrentSince Mar 10, 2020 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 10, 2020 Accepting new patients
Midwest Radiology Inc Past Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Largo Radiology Consultants Past Accepting new patients
Insight Health Corp. Diagnostic Radiology PastSince Jul 26, 2010 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology Past Accepting new patients
Midwest Radiology, Inc. Diagnostic Radiology Past Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Diagnostic Radiology Past Accepting new patients
Providence Imaging Consultants, P.a. Diagnostic Radiology Past Accepting new patients
Radiology Specialists of St Joseph PC Diagnostic Radiology Past Accepting new patients
Citrus Memorial Health Foundation Inc Past Accepting new patients
Central Florida Imaging Associates Diagnostic Radiology Past Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Heartland Imaging Specialists LLC 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

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

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

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1639135437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-6611",
            "fax_number": "417-347-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-6611",
            "fax_number": "417-347-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVERT",
        "first_name": "BRANDON",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2019024227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.