Individual
FRED D BIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MERCY WAY STE 320-330, JOPLIN, MO 64804-4524
(417) 781-5387
Mailing address
100 MERCY WAY STE 320-330, JOPLIN, MO 64804-4524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R6024
MO
207RC0000X
Cardiovascular Disease Physician
Primary
R6024
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060068300
MEDICARE RAILROAD
—
05
—
1205853389
—
MO
01
—
33202011
BLUE SHIELD OF KC HMO
—
01
—
431092652 A003
CHAMPUS TRICARE
—
01
—
4596969
AETNA PPO
—
Enumeration date
05/20/2006
Last updated
02/23/2024
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