Individual
DR. BARBARA A. BUMBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4331 S FREMONT AVE, SPRINGFIELD, MO 65804-7328
(417) 820-5015
(417) 820-5026
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100967
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162306001
—
AR
05
—
208093625
—
MO
01
—
22076
MO BLUE SHIELD
MO
01
—
81907
ARK BLUE SHIELD
AR
Enumeration date
02/07/2007
Last updated
12/19/2011
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