DR. BARRY J BACON (MD) – Family Medicine Physician, NPI 1053309146

DR. BARRY J BACON (MD) is a healthcare provider. based in Colville, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00027502 (WA). The NPI Number for DR. BARRY J BACON (MD) is 1053309146

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. BARRY J BACON (MD)
NPI
1053309146
Phone
(509) 684-3701
Address
1200 E COLUMBIA AVE
Enumeration Date
12 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5096331753
Graduation Year
1984 (42 years ago)
PAC ID
1850476714
Group Practice PAC ID
9335050285
Professional Enrollment ID
I20080317000545
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BARRY J BACON (MD)

  • Northeast Washington Medical Group, 1200, East Columbia Avenue, Colville, Stevens County, Washington, 99114, United States

    COLVILLE, WA 991143354

    Phone: (509) 684-3701

    Fax: (509) 684-5817

    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: 2024-11-15

PECOS data refreshed: 2026-05-27

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99114)

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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: 9335050285View full group profile
NameSpecialtyState
Nurse PractitionerWA
Internal Medicine, Internal Medicine, Pulmonary Disease, General Surgery, Critical Care (Intensivists)IA
Nurse PractitionerWA
Family Practice, Obstetrics/GynecologyWA
Nurse PractitionerVA
Certified Registered Nurse Anesthetist (Crna)WA
Family PracticeIN
Physician AssistantTX
Nurse PractitionerTX
General SurgeryWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BARRY J BACON (MD)?
NPI 1053309146 is assigned to DR. BARRY J BACON (MD) under the national enumeration system.
Is DR. BARRY J BACON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. BARRY J BACON (MD) treat or focus on?
Patients typically see DR. BARRY J BACON (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BARRY J BACON (MD)?
The page summarizes Colville, Washington for DR. BARRY J BACON (MD); expand the address list for detail.
What if Colville, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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