BRYSON ROY MCHARDY JR. (NPI# 1841299161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841299161 |
| Entity Type | Individual |
| Full Name | BRYSON ROY MCHARDY JR. |
| Credential | M.D,. |
| Practice Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Mailing Address |
100 Medical Dr P.o. Box 311 Hannibal MO 63401-6877 |
| Practice Telephone | 5732313106 |
| Practice Fax Number | 5732313723 |
| Mailing Telephone | 5732313106 |
| Mailing Fax Number | 5732313723 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
2008007525 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01308626 | 05 |
| Street Address |
100 MEDICAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023644 | Kelli Eagan | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2020-11-02 |
| 1174002232 | Stacy L Johnson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2018-08-09 |
| 1770096513 | Jennifer Sue Myers | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-15 |
| 1629581947 | Mitzi Buckman | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-08 |
| 1568975183 | Kristin Bradshaw | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-06 |
| 1902316607 | Patsy J Hudson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-10-07 |
| 1164959862 | Alexis Niemann Kirner | Audiologist | 100 Medical Dr, Hannibal, MO 63401 | 2017-05-12 |
| 1477914885 | Janae Suzann Robertson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-03-11 |
| 1942668819 | Lauren N. Brandenburger | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-02-05 |
| 1790158087 | Quincy Physicians & Surgeons Clinic, Sc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
| 1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
| 1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
| 1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
| 1811076763 | Nedra Diann Twillie | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
| 1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
| 1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
| 1528064102 | Joseph William Stafford Jr. | Pediatrics | 312 N Kentucky Ave, West Plains, MO 65775-2073 | 2005-06-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.