POPLAR BLUFF MEDICAL PARTNERS, LLC
NPI 1407845472
Clinic/Center - Radiology in Poplar Bluff, MO

Q: What is Poplar Bluff Medical Partners, LLC's NPI number?

The NPI number for Poplar Bluff Medical Partners, LLC is 1407845472. It was assigned to this organization in the NPPES registry on October 20, 2005.

Q: What is Poplar Bluff Medical Partners, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Active since October 20, 2005

221 PHYSICIANS PARK, POPLAR BLUFF, MO 63901(573) 727-9080(573) 686-1245 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Poplar Bluff Medical Partners, Llc NPPES

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

POPLAR BLUFF MEDICAL PARTNERS, LLC (NPI 1407845472) is a healthcare organization registered as a radiology in Poplar Bluff, Missouri and active in the NPI registry since October 2005. The organization lists Michael Burcham, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407845472

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NamePOPLAR BLUFF MEDICAL PARTNERS, LLC

Location Address221 PHYSICIANS PARKPoplar Bluff, MO 63901-3956

Mailing Address221 Physicians ParkPoplar Bluff, MO 63901-3956 · (573) 727-9080 · Fax (573) 686-1245

Phone(573) 727-9080

Fax(573) 686-1245

Organization SubpartNo

Authorized OfficialMichael BurchamPresident, Ceo · (573) 727-9080

Enumeration DateOctober 20, 2005

Last NPPES UpdateMay 27, 2008

✔ NPI 1407845472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

License✔ Licensed in MO · NOT REQUIRED

Also ListedClinic/Center · Magnetic Resonance Imaging (MRI)Taxonomy 261QM1200X · License NOT REQUIRED (MO)

Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X · License NOT REQUIRED (MO)

221 PHYSICIANS PARK, Poplar Bluff, MO 63901

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Other Identifiers 2

Medicare PIN000047059MO

Medicaid710426909MO

Other Providers at the Same Location NPPES 7

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

MS. SHIRLEY A JAUTZ CRNA

Nurse Anesthetist, Certified Registered