Individual provider Active NPI

Brent Brian Barnstuble, MD

  • Family Medicine Physician
  • Morris, MN
National Provider Identifier
1720028038
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54348 Issued in MN
Practice address
400 E 1St St
Morris, MN 56267-1408
Phone
(320) 589-7648
Fax
(320) 208-7810
NPI assigned
Jun 7, 2006
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23391 NE
Family Medicine Physician 207Q00000X 11867 ND
Family Medicine Physician 207Q00000X 54348 MN Primary

Addresses

Primary practice location

400 E 1St St
Morris, MN 56267-1408

Mailing address

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-7648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120227000165 MN Practitioner - Family Practice 0749319184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of North Dakota School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54348MNMDFamily Medicine Physician
11867NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swift County Benson Hospital Family Medicine CurrentSince Dec 27, 2012 Accepting new patients
Swift County-Benson Hospital Current Accepting new patients
Stevens Community Medical Center Inc Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Swift County Benson Hospital CurrentSince Dec 27, 2012 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jul 1, 2012 Accepting new patients
Stevens Community Medical Center Inc Past Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

Interoperability endpoints

  • Direct secure messaging: bbarnstuble386722@direct.centracare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stevens Community Medical Center IncMorris, MN, CCN 241363 Hospital Operational/Managerial Control Sep 1, 2024
Stevens Community Medical Center IncMorris, MN, CCN 24Z363 Hospital Operational/Managerial Control Sep 1, 2024
SCMC Morris ClinicMorris, MN, CCN 243494 Rural health clinic Operational/Managerial Control Sep 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1720028038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-7648",
            "fax_number": "320-208-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNSTUBLE",
        "first_name": "BRENT",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "23391",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "11867",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "54348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.