MR. DUSTIN BARTLETT P.A. NPI 1972603777

NPI Information

NPI: 1972603777
Provider Name: MR. DUSTIN BARTLETT, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3800 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3800
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MR. Dustin Bartlett, P.A. is a medical physician assistant in Springfield, MO with 20 years of experience. MR. Dustin Bartlett, P.A. NPI is 1972603777. 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:

3800 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-209
Phone: (417) 875-3800

The NPI 1972603777 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.

Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 12/27/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2005003803	MISSOURI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	220024622	MEDICAID	MISSOURI
2	2005003803	OTHER	MISSOURI	STATE LICENSE

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

NPI Synchronization or Removal

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