Active NPI
Roger Loren Barrey, PAC
- Physician Assistant
- Missoula, MT
National Provider Identifier
1720020357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 95
- Practice address
- 500 W Broadway
Ste 310
Missoula, MT 59802-4012 - Phone
- (406) 728-6520
- Fax
- (406) 329-2936
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 95 | MT | Primary |
Addresses
Primary practice location
500 W Broadway
Ste 310
Missoula, MT 59802-4012
Mailing address
500 W Broadway
Ste 310
Missoula, MT 59802-4012
Phone (406) 728-6520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000900763 | Other | MT | BCBS |
| 1720020357 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95 | MT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pureview Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1831916659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1720020357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY",
"address_2": "STE 310",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024012",
"telephone_number": "406-728-6520",
"fax_number": "406-329-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY",
"address_2": "STE 310",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024012",
"telephone_number": "406-728-6520",
"fax_number": "406-329-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARREY",
"first_name": "ROGER",
"middle_name": "LOREN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "95",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0000900763",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720020357",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.