Organization Active NPI

Dearnbarger Family Practice S.C.

  • Family Medicine Physician
  • Sullivan, IL
National Provider Identifier
1649289828
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DEARNBARGER FAMILY PRACTICE S.C.
Practice address
101 W Jefferson St
Sullivan, IL 61951-1914
Phone
(217) 621-6595
NPI assigned
Aug 5, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Kurt M Dearnbarger, M.D.NPI 1376586024
Title
Owner
Phone
(217) 621-6595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

101 W Jefferson St
Sullivan, IL 61951-1914

Mailing address

101 W Jefferson St
Sullivan, IL 61951-1914

Other identifiers 1

IdentifierTypeStateIssuer
DC1602OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1649289828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W JEFFERSON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W JEFFERSON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511914",
            "telephone_number": "217-621-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARNBARGER FAMILY PRACTICE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "DEARNBARGER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-621-6595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC1602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.