Bryan D. Barnes, Inc. | |
1901 E 32nd St Ste 4 Joplin MO 64804-3071 | |
(417) 781-0250 | |
(417) 781-2581 |
Full Name | Bryan D. Barnes, Inc. |
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Speciality | Family Medicine |
Location | 1901 E 32nd St Ste 4, Joplin, Missouri |
Authorized Official Name and Position | Bryan D Barnes (DO) |
Authorized Official Contact | 4177810250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bryan D. Barnes, Inc. Po Box 2511 Joplin MO 64803-2511 Ph: (417) 781-0250 | Bryan D. Barnes, Inc. 1901 E 32nd St Ste 4 Joplin MO 64804-3071 Ph: (417) 781-0250 |
NPI Number | 1487981445 |
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Provider Enumeration Date | 11/12/2009 |
Last Update Date | 11/08/2019 |
Medicare PECOS PAC ID | 4183752983 |
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Medicare Enrollment ID | O20100517000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487981445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bryan D Barnes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720015613 PECOS PAC ID: 6608964317 Enrollment ID: I20071114000086 |
Provider Name | Timothy K Kessinger-mccroskey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811356751 PECOS PAC ID: 8123326600 Enrollment ID: I20160418000060 |
Provider Name | Aaron M Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982126363 PECOS PAC ID: 5799055729 Enrollment ID: I20170724001967 |
Provider Name | Michelle L. Heger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285114678 PECOS PAC ID: 7214277516 Enrollment ID: I20190325000649 |
Provider Name | Joe Moseley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467126854 PECOS PAC ID: 2163827098 Enrollment ID: I20210816002626 |
Provider Name | Trent A Hicks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598420911 PECOS PAC ID: 8628466125 Enrollment ID: I20211103001277 |
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