Active NPI
Barry L Pollard, MD
- Neurological Surgery Physician
- Enid, OK
National Provider Identifier
1720098023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 11684
- Practice address
- 102 S Van Buren
Enid, OK 73703-5866 - Phone
- (580) 242-7030
- Fax
- (580) 242-7033
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 11684 | OK | Primary |
Addresses
Primary practice location
102 S Van Buren
Enid, OK 73703-5866
Mailing address
102 S Van Buren
Enid, OK 73703-5866
Phone (580) 242-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100135710A | Medicaid | OK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11684 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1720098023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S VAN BUREN",
"city": "ENID",
"state": "OK",
"postal_code": "737035866",
"telephone_number": "580-242-7030",
"fax_number": "580-242-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S VAN BUREN",
"city": "ENID",
"state": "OK",
"postal_code": "737035866",
"telephone_number": "580-242-7030",
"fax_number": "580-242-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "BARRY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "11684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100135710A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.