Individual provider Active NPI

Brent Barker, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Vancouver, WA
National Provider Identifier
1942206891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO00000574 Issued in WA
Practice address
18007 NE 26TH St
Vancouver, WA 98684-0735
Phone
(360) 896-3836
Fax
(360) 896-8891
NPI assigned
Jun 24, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Primary Podiatric Medicine Podiatrist 213EP1101X PO00000574 WA Primary

Addresses

Primary practice location

18007 NE 26TH St
Vancouver, WA 98684-0735

Mailing address

18007 NE 26TH St
Vancouver, WA 98684-0735
Phone (360) 896-3836

Other identifiers 2

IdentifierTypeStateIssuer
1101856MedicaidWA
1109677MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000713 WA Practitioner - Podiatry 8426076175 Practice locations: Vancouver, WA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18007 NE 26TH St
Vancouver, WA 98684-0735
Phone (360) 896-3836

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2679
Removal or shaving of skin growth1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
547WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Clinic, PS PastSince Dec 1, 2000 Accepting new patients
On-Site Anesthesia Services Inc Past Accepting new patients
Rkso LLC PastSince Jun 21, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942206891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18007 NE 26TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840735",
            "telephone_number": "360-896-3836",
            "fax_number": "360-896-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18007 NE 26TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840735",
            "telephone_number": "360-896-3836",
            "fax_number": "360-896-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO00000574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101856",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109677",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.