Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ebo MD of Poplar Bluff LLC

Family Medicine Physician in Poplar Bluff, MO · enumerated 2021 · authorized official Philip Crocker, Cfo.

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

National Provider Identifier

1770152035

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Registry record

Entity type Organization (Type 2)

Legal business name Ebo MD of Poplar Bluff LLC

Practice address 2725 N Westwood Blvd, Poplar Bluff, MO, 63901

Phone (573) 686-5510

Enumeration date Jun 22, 2021

Last updated in NPPES Jul 26, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Philip Crocker

Title Cfo

Phone (573) 686-5510

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-07-26. Verify at npiregistry.cms.hhs.gov.

Where is Ebo MD of Poplar Bluff LLC located?

The practice location on file with NPPES is in Poplar Bluff, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-26.