BARRY GARDNER MD
NPI 1922049923
General Practice in Logan, UT

Active since June 09, 2006PECOS Enrolled

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Barry Gardner Md NPPES

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

BARRY GARDNER MD (NPI 1922049923) is an individual general practice provider in Logan, Utah, licensed in Utah (319532-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922049923
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBARRY GARDNERCredential: MD
Location Address1400 N 500 ELogan, UT 84341-2455
Mailing AddressPo Box 25535Salt Lake City, UT 84125-0535 · (866) 898-7136 · Fax (616) 975-9824
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1922049923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in UT · 319532-1205
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 319532 (UT)
1400 N 500 E, Logan, UT 84341

Other Identifiers 3

Medicaid807469200ID
OtherP00393212Railroad Medicare
MedicaidD1618UT

Accepted 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)

Barry Gardner Md 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.

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.

Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Pathology (Anatomic Pathology & Clinical Pathology)
1400 N 500 E
LOGAN, UT 84341
Pathology (Anatomic Pathology & Clinical Pathology)
1400 N 500 E
LOGAN, UT 84341
Internal Medicine
1400 N 500 E
LOGAN, UT 84341
Emergency Medicine (Emergency Medical Services)
1400 N 500 E
LOGAN, UT 84341
Emergency Medicine (Emergency Medical Services)
1400 N 500 E
LOGAN, UT 84341
Emergency Medicine (Emergency Medical Services)
1400 N 500 E
LOGAN, UT 84341
Emergency Medicine (Emergency Medical Services)
1400 N 500 E
LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922049923, enumerated as an "individual" on June 09, 2006.

The provider is located at 1400 N 500 E LOGAN, UT 84341 and the phone number is (435) 716-1000.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.