Individual provider Active NPI

Barry Robert Pockrandt, MD

  • Family Medicine Physician
  • Fort Leavenworth, KS
National Provider Identifier
1851497622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101226148 Issued in VA
Practice address
550 Pope Ave
Munson Army Health Center (Attn: MCXN-Cod, Ms Cotton)
Fort Leavenworth, KS 66027-2332
Phone
(913) 684-6562
Fax
(913) 684-6208
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101226148 VA Primary

Addresses

Primary practice location

550 Pope Ave
Munson Army Health Center (Attn: MCXN-Cod, Ms Cotton)
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
Munson Army Health Center (Attn: MCXN-Cod, Ms Cotton)
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20171114000331 KS Order and Referring Only - Family PracticePractitioner - Family Practice 0244596930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226148VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harwood Chiropractic LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851497622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS COTTON)",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6562",
            "fax_number": "913-684-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS COTTON)",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6562",
            "fax_number": "913-684-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCKRANDT",
        "first_name": "BARRY",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101226148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.