NPIMap

Individual provider Active NPI

Robert Bradley Wyrsch, MD

  • Orthopaedic Hand Surgery Physician
  • Springfield, MO
National Provider Identifier
1851430185
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
111221 Issued in MO
Practice address
1229 E Seminole St
Springfield, MO 65804-2227
Phone
(417) 820-5610
Fax
(417) 820-5588
NPI assigned
Feb 5, 2007
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 111221 MO Primary

Addresses

Primary practice location

1229 E Seminole St
Springfield, MO 65804-2227

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620

Other identifiers 2

IdentifierTypeStateIssuer
208283903MedicaidMO
81635OtherMOAR BLUE SHIELD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000421 MO Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5395754568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1229 E Seminole
230 MC Pulmonology ASC
Springfield, MO 65804-2227
Phone (417) 888-6711

1229 E Seminole St
Springfield, MO 65804-2227

1229 E Seminole St FL
2 MC Spine Orthopedics Springfield
Springfield, MO 65804-2227
Phone (417) 820-2064

1235 E Cherokee St
Springfield, MO 65804-2203

1605 Martin Springs Dr
Rolla, MO 65401-2980

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

3050 E River Bluff Blvd
MC Orthopedics
Ozark, MO 65721-8807
Phone (417) 820-5610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rwyrsch995@directb.mercy.net

Ownership & related parties

All facility ownership & control disclosures 16

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

FacilityTypeRoleSince
Mercy Rehabilitation Hospital SpringfieldSpringfield, MO, CCN 263032 Hospital Corporate Director Jan 1, 2015
Mercy Clinic Family Medicine - SteelvilleSteelville, MO, CCN 263850 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic - St. JamesSaint James, MO, CCN 263943 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic - St. RobertSaint Robert, MO, CCN 263813 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Pediatrics-RollaRolla, MO, CCN 268935 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine - Mountain GroveMountain Grove, MO, CCN 263840 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine-Branson WestBranson West, MO, CCN 263918 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine- CassvilleCassville, MO, CCN 263909 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine-El Dorado SpringsEl Dorado Springs, MO, CCN 263900 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Pediatrics-LebanonLebanon, MO, CCN 263831 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine-BuffaloBuffalo, MO, CCN 263921 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic-Lebanon-Family MedicineLebanon, MO, CCN 263814 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine-RichlandRichland, MO, CCN 263934 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic - Birch TreeBirch Tree, MO, CCN 263806 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic -SalemSalem, MO, CCN 263870 Rural health clinic Corporate Officer Mar 1, 2021
Mercy Clinic Family Medicine-Mountain ViewMountain View, MO, CCN 263819 Rural health clinic Corporate Officer Mar 1, 2021

Owned or controlled facilities with NPI records 16

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

View all 16

Organizations & group practices 4

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 9

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1851430185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620",
            "fax_number": "417-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 E SEMINOLE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042227",
            "telephone_number": "417-820-5610",
            "fax_number": "417-820-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRSCH",
        "first_name": "ROBERT",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MO",
            "license": "111221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208283903",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE SHIELD #",
            "identifier": "81635",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.