Individual provider Active NPI

Brent Michael Barson, DO

  • Pediatrics Physician
  • Westerville, OH
National Provider Identifier
1699090167
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34010659 Issued in OH
Practice address
465 N Cleveland Ave Ste 200
Westerville, OH 43082-8642
Phone
(614) 899-0000
Fax
(614) 899-0524
NPI assigned
Mar 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34010659 OH Primary

Addresses

Primary practice location

465 N Cleveland Ave Ste 200
Westerville, OH 43082-8642

Mailing address

465 N Cleveland Ave Ste 200
Westerville, OH 43082-8642
Phone (614) 899-0000

Other identifiers 1

IdentifierTypeStateIssuer
0135275MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210419000660 OH Practitioner - Pediatric Medicine 2668880352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Ohio University, College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

465 N Cleveland Ave
Suite 200
Westerville, OH 43082-8642
Phone (614) 876-7330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34010659OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Feb 1, 2021 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

655 Africa Rd
Westerville, OH 43082

465 N Cleveland Ave
Ste 200
Westerville, OH 43082
Phone (614) 876-7330

Interoperability endpoints

  • Direct secure messaging: bbarson19082@copcp.medicity.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1699090167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N CLEVELAND AVE STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828642",
            "telephone_number": "614-899-0000",
            "fax_number": "614-899-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N CLEVELAND AVE STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828642",
            "telephone_number": "614-899-0000",
            "fax_number": "614-899-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSON",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34010659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.