BRADY STARK
NPI 1356768840
Physician Assistant in Springfield, MO

Q: What is Brady Stark's NPI number?

The NPI number for Brady Stark is 1356768840. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Q: What is Brady Stark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brady Stark was last updated on January 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2014PECOS Enrolled

440 E TAMPA ST, SPRINGFIELD, MO 65806(417) 831-0150(417) 447-0570 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brady Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADY STARK (NPI 1356768840) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2014008807) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356768840

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRADY STARK

Location Address440 E TAMPA STSpringfield, MO 65806-1131

Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 831-0150 · Fax (417) 447-0570

Phone(417) 831-0150

Fax(417) 447-0570

Sole ProprietorNo

Enumeration DateMarch 24, 2014

Last NPPES UpdateJanuary 28, 2016

✔ NPI 1356768840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2014008807

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

440 E TAMPA ST, Springfield, MO 65806

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brady Stark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELLA GOODWIN LCSW

Social Worker (Clinical)