Individual provider Active NPI

Barry Workman, M.D.

  • Family Medicine Physician
  • Fort Campbell, KY
National Provider Identifier
1972543148
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301087528 Issued in MI
Practice address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 461-5035
Fax
(931) 645-4104
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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 4301087528 MI Primary

Addresses

Primary practice location

650 Joel Dr
Fort Campbell, KY 42223

Mailing address

12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345

Other practice location 1

12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345
Phone (314) 744-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190417002060 TN Practitioner - Family Practice 9739420852 Reassigns benefits to 3 organizations
I20220830000297 MS Practitioner - Family Practice 9739420852 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087528MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Health and Medical Services LLC CurrentSince Apr 1, 2020 Accepting new patients
Linda a Foster MD PC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Northstar Healthcare Alpha LLC Family Medicine CurrentSince Mar 12, 2020 Accepting new patients
Linda a Foster MD PC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
New Albany Urology, PLLC PastSince Aug 6, 2022 Accepting new patients
Ihms Healthcare Incorporated PastSince Mar 1, 2024 Accepting new patients

Locations

8900 College St
Olive Branch, MS 38654
Phone (662) 539-0233

1540 Appling Care Ln
Ste 100
Cordova, TN 38016
Phone (901) 202-0735

1540 Appling Care Ln
Ste 105
Cordova, TN 38016
Phone (901) 202-0733

1589 Sparta St
Ste 201
McMinnville, TN 37110
Phone (931) 815-0050

2158 Judicial Dr
Memphis, TN 38138
Phone (901) 421-5174

2189 West St
Ste 2
Memphis, TN 38138
Phone (901) 421-5174

Organizations & group practices 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1972543148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD",
            "address_2": "SUITE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-461-5035",
            "fax_number": "931-645-4104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12647 Olive Blvd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416345",
            "country_code": "US",
            "telephone_number": "314-744-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "BARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301087528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.