Organization Active NPI

Neil G Barry III MD Inc

  • Internal Medicine Physician
  • Middlesboro, KY
National Provider Identifier
1710085238
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEIL G BARRY III MD INC
Practice address
3004 W Cumberland Avenue
Medical Arts Building
Middlesboro, KY 40965
Phone
(606) 248-4162
Fax
(606) 242-3429
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Neil G Barry III, MDNPI 1235125972
Title
Owner
Phone
(606) 248-4162

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3004 W Cumberland Avenue
Medical Arts Building
Middlesboro, KY 40965

Mailing address

3004 W Cumberland Avenue
Medical Arts Building
Middlesboro, KY 40965
Phone (606) 248-4162

Other identifiers 1

IdentifierTypeStateIssuer
65931263MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100303000372 KY Part B Supplier - Clinic/Group Practice 5496652240 Receives reassigned benefits from 3 practitioners
Practice locations: Middlesboro, KY
O20180522001523 KY Part A Provider - Rural Health Clinic 5496652240 Practice locations: Middlesboro, KY

Rural health clinic certification: CCN 188998

Legal name
NEIL G BARRY III MD INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 25, 2018
Last certification
Oct 25, 2018
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jul 22, 1998 in KY
Enrollment address
3004 Cumberland Ave
Middlesboro, KY 40965-2343

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neil G Barry Individual 5% Or Greater Direct Ownership InterestOwner Jul 22, 1998 100%
Corporate OfficerPresident Jul 22, 1998 100%
Corporate Director Jul 22, 1998 100%
W-2 Managing Employee Jul 22, 1998 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1710085238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 W CUMBERLAND AVENUE",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-4162",
            "fax_number": "606-242-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 W CUMBERLAND AVENUE",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-4162",
            "fax_number": "606-242-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL G BARRY III MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-248-4162",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65931263",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.