NPIMap

Individual provider Active NPI

Brian R Edwards, DO

  • Family Medicine Physician
  • Owensville, MO
National Provider Identifier
1639147283
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2003002799 Issued in MO
Practice address
3536 Kuhne Rd
Owensville, MO 65066
Phone
(573) 437-4168
Fax
(573) 437-4168
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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 2003002799 MO Primary

Addresses

Primary practice location

3536 Kuhne Rd
Owensville, MO 65066

Mailing address

3536 Kuhne Rd
Capital Region Medical Clinic Owensville
Owensville, MO 65066
Phone (573) 437-4168

Other identifiers 8

IdentifierTypeStateIssuer
208842808MedicaidMO
189703OtherBLUE CROSS BLUE SHIELD
440546366OtherUNITED HEALTHCARE
P00189427OtherRR MEDICARE
2226070OtherFIRST HEALTH
8129934001OtherCIGNA
I13420OtherMERCY
661032OtherHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000437 MO Practitioner - Family Practice 3971578568 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003002799MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1500 Southwest Blvd
Ste B
Jefferson Cty, MO 65109
Phone (573) 635-1577

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

3536 Kuhne Rd
Owensville, MO 65066
Phone (573) 437-4168

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Curators of the University of Missouri 1,108 clinicians

Practice addresses (Care Compare)

1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141

Hospital & facility affiliations

  • Capital Region Home Health Home health agency, Jefferson City, MO, CCN 267219
  • Phelps Health Home Health and Hospice Home health agency, Rolla, MO, CCN 267555
  • Mercy Hospice Hospice, Saint Louis, MO, CCN 261510
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Missouri Baptist Sullivan Hospital Hospital, Sullivan, MO, CCN 261337
  • Gasconade Manor Nursing Home Nursing home, Owensville, MO, CCN 265546

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1639147283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 KUHNE RD",
            "address_2": "CAPITAL REGION MEDICAL CLINIC OWENSVILLE",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "65066",
            "telephone_number": "573-437-4168",
            "fax_number": "573-437-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 KUHNE RD",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "65066",
            "telephone_number": "573-437-4168",
            "fax_number": "573-437-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2003002799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208842808",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "189703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "440546366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00189427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2226070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8129934001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "I13420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "661032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensville, MO

Sources for this page

Verify at the official NPI Registry.