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Poplar Bluff Medical Partners, LLC

Radiology Clinic/Center in Poplar Bluff, MO · enumerated 2005 · authorized official Michael Burcham, President, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407845472

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Registry record

Entity type Organization (Type 2)
Legal business name Poplar Bluff Medical Partners, LLC
Practice address 221 Physicians Park, Poplar Bluff, MO, 63901
Phone (573) 727-9080
Fax (573) 686-1245
Enumeration date Oct 20, 2005
Last updated in NPPES May 27, 2008

Taxonomy & classification

261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities · License NOT REQUIRED (MO) Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities · License NOT REQUIRED (MO) Primary
261QR0206X Mammography Clinic/Center Ambulatory Health Care Facilities · License NOT REQUIRED (MO) Secondary

Authorized official

Name Michael Burcham
Title President, Ceo
Phone (573) 727-9080

Other identifiers

Identifier Type State Issuer
710426909 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Poplar Bluff Medical Partners, LLC?
Poplar Bluff Medical Partners, LLC is registered in NPPES as a Radiology Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-27.