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NPI Code Detail

MEDICARE: DR. BYRON LEONARD PERKINSON M.D.

MEDICARE: DR. BYRON LEONARD PERKINSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician81270MT
2207Q00000XFamily Medicine Physician72315CA
3207Q00000XFamily Medicine Physician2023044254MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00698300OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104854660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BYRON LEONARD PERKINSON M.D.
Provider Business Mailing Address
First Line : 800 S ASH ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-3224
Country : US
Telephone Number : 417-667-3355
Fax Number : 417-667-4234
Provider Business Practice Location Address
First Line : 900 S ADAMS ST
Second Line :
City : NEVADA
State : MO
Zip : 64772-3210
Country : US
Telephone Number : 417-667-6015
Fax Number : 417-448-8970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 10/21/2024

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