Individual provider Active NPI

Cynthia Darlene Barry, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Gilbert, AZ
National Provider Identifier
1962432427
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2752 Issued in AZ
Practice address
725 W Elliot Rd
BLDG. 3; Suite 105
Gilbert, AZ 85233-5301
Phone
(480) 963-6144
Fax
(480) 899-1404
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2752 AZ Primary

Addresses

Primary practice location

725 W Elliot Rd
BLDG. 3; Suite 105
Gilbert, AZ 85233-5301

Mailing address

725 W Elliot Rd
BLDG. 3; Suite 105
Gilbert, AZ 85233-5301
Phone (480) 963-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060413000388 AZ Practitioner - Family Practice 7810906153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2752AZMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1962432427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ELLIOT RD",
            "address_2": "BLDG. 3; SUITE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335301",
            "telephone_number": "480-963-6144",
            "fax_number": "480-899-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ELLIOT RD",
            "address_2": "BLDG. 3; SUITE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335301",
            "telephone_number": "480-963-6144",
            "fax_number": "480-899-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "CYNTHIA",
        "middle_name": "DARLENE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "2752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.