David Barney PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAVID BARNEY PLLC

Doing business as

David Barney Family Medicine

Practice address

6690 Crossings Dr SE Ste C
Grand Rapids, MI 49508-7394

Phone

(616) 600-1885

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Charles J Zickus, DO

Title

Physician/Owner

Phone

(616) 443-5806

Specialties & licenses 1

Addresses

Other names 1

• David Barney Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryson James Pacheco, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1093591091
  Medicare reassignment Care Compare group NPD
• David Joseph Barney, PAC

  • Medical Physician Assistant
  • Grand Rapids, MI
  • NPI 1437254430
  Medicare reassignment Care Compare group
• Leidy Fournier, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1437693660
  Medicare reassignment Care Compare group
• Phillip Joseph Gaca, DO

  • Family Medicine Physician
  • Belmont, MI
  • NPI 1912999210
  Medicare reassignment Care Compare group
• Kirsten Werner, PA

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1518322767
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1932682044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 CROSSINGS DR SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 CROSSINGS DR SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087394",
            "telephone_number": "616-600-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BARNEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ZICKUS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "616-443-5806",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Barney Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "David Barney Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Kaye Daugherty, PHARMD
• Alison Dault, LMSW
• Laurie J Daum, MD
• Annie Daus, MA, CCC-SLP
• Mackenzie Davenport, AT, ATC
• David D Brelinski III, PLLC
• David G Frye PC
• David G. Raffo MD PLLC
• David Lamberts, DDS,PC
• David R Felton

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.