Mary Katherine Brinkman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2013005280 Issued in MO

Practice address

440 S Market Ave
Springfield, MO 65806-2026

Phone

(417) 865-5581

NPI assigned

Nov 9, 2005

Last updated

Jul 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Lakeland Hospital Acquisition, LLC

  dba Lakeland Behavioral Health System

  • Child & Adolescent Psychiatry Physician
  • Springfield, MO
  • NPI 1225174311
  NPD

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1851372601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S PICKWICK AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040130",
            "telephone_number": "417-863-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MARKET AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062026",
            "telephone_number": "417-865-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2013005280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse N Briggs, PHARMD
• Bright Sky Nutrition, LLC
• James E Bright, MD
• Kristy Nicole Bright, OT
• Jeffrey Brinkman, A.T.C.
• Linda L. Britt, LPC
• Shelby Britt, PA-C
• James Britton Jr., PHARM.D.
• Aaliyah Marie Brizendine
• Todd Brizendine, LPC

• Medical Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.