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DR. BRYAN SU-HYUN JEUN MD NPI 1063674216


NPI Information

NPI: 1063674216
Provider Name: DR. BRYAN SU-HYUN JEUN, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
3801 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-4056
Get Directions

DR. Bryan Su-hyun Jeun, MD is a neuroradiology radiology in Springfield, MO with 16 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Bryan Su-hyun Jeun, MD NPI is 1063674216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3801 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-210
Phone: (417) 269-4056

The NPI 1063674216 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 6/30/2008 and was last updated on 11/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology2014015319MISSOURINo
22085R0202XRadiologyDiagnostic RadiologyDR.0068937COLORADONo
32085N0700XRadiologyNeuroradiology2014015319MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11063674216MEDICAIDMISSOURI
2200015934MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.