Active NPI
John W Bartlett, MD
- Psychiatry Physician
- Greensboro, NC
National Provider Identifier
1720146293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28602
- Practice address
- 201 N Eugene St
Greensboro, NC 27401-2221 - Phone
- (336) 641-3630
- Fax
- (336) 641-3580
- NPI assigned
- Dec 5, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 28602 | NC | Primary |
Addresses
Primary practice location
201 N Eugene St
Greensboro, NC 27401-2221
Mailing address
201 N Eugene St
Greensboro, NC 27401-2221
Phone (336) 641-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913582 | Medicaid | NC |
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 |
|---|---|---|---|
| 28602 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1720146293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N EUGENE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012221",
"telephone_number": "336-641-3630",
"fax_number": "336-641-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N EUGENE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012221",
"telephone_number": "336-641-3630",
"fax_number": "336-641-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "28602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913582",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.