Dalton Brothers, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2019019333 Issued in MO

Practice address

2013 S Joplin Ave
Joplin, MO 64804-2033

Phone

(417) 624-5005

NPI assigned

Jun 3, 2019

Last updated

Jun 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brothers Taylor and Bezold IncGroup PAC ID 3173576253, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brothers Taylor & Bezold Inc

  dba Brothers Bezold & Associates

  • Optometrist
  • Joplin, MO
  • NPI 1336292077
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1679131841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042033",
            "telephone_number": "417-624-5005",
            "fax_number": "417-624-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042033",
            "telephone_number": "417-624-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "DALTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019019333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF NARCOTICS & DANGEROUS DRUGS (BNDD)",
            "identifier": "2500054965",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Brooke, RDN
• Douglas A Brooks, PHD
• Keelin Brooks, RBT
• Lindsey Katherine Brooks, PSY.D.
• Brothers Taylor & Bezold Inc (Brothers Bezold & Associates)
• Daniel J Brothers, O.D.
• Larry J Brothers, O.D.
• Lloyd Leon Brothers IV
• Angela L Brower, LMSW
• Bailey Brower

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.