BARRY WILLBRANDT (MD) – Pediatrics Physician, NPI 1972596567

BARRY WILLBRANDT (MD) is a healthcare provider. based in Gulfport, Mississippi. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 18038 (MS). The NPI Number for BARRY WILLBRANDT (MD) is 1972596567

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
BARRY WILLBRANDT (MD)
NPI
1972596567
Phone
(228) 867-5185
Address
12057 DELMAR PLAZA
Enumeration Date
30 August 2005
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2288634000
Graduation Year
1973 (53 years ago)
PAC ID
1658272349
Group Practice PAC ID
2466524012
Professional Enrollment ID
I20040612000284
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for BARRY WILLBRANDT (MD)

  • 12057 DELMAR PLAZA

    GULFPORT, MS 395034308

    Phone: (228) 867-5185

    Fax: (228) 867-5184

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040612000284IEmergency MedicineMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6967$0
99212Established patient office or other outpatient visit, 10-19 minutes4743$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 39503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466524012View full group profile
NameSpecialtyState
-MS
-TX
A N E S T H E S I O L O G YMS
-MS
Nurse PractitionerMS
Nurse PractitionerMS
Cardiovascular Disease (Cardiology), Critical Care (Intensivists), Internal MedicineMS
Nurse PractitionerMS
N E U R O L O G YMS
Internal MedicineMS

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Frequently asked questions

What is the registry number for BARRY WILLBRANDT (MD)?
The registry entry for BARRY WILLBRANDT (MD) shows NPI 1972596567.
Does the public listing show BARRY WILLBRANDT (MD) as active?
BARRY WILLBRANDT (MD)'s NPI record reflects an active status in NPPES.
What type of care does BARRY WILLBRANDT (MD) provide?
BARRY WILLBRANDT (MD)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BARRY WILLBRANDT (MD)?
The directory associates BARRY WILLBRANDT (MD) with Gulfport, Mississippi. Check all listed addresses for suites or satellite offices.
Who maintains BARRY WILLBRANDT (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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