Unknown Individual – Internal Medicine Physician, NPI 1366443962

Unknown Individual is a healthcare provider. based in Branson, Missouri. specializing in Internal Medicine Physician. They hold a License No. 36352 (MO). The NPI Number for Unknown Individual is 1366443962

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366443962
Phone
(417) 334-7007
Address
109 STONERIDGE DR
Deactivation Date
7 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 109 STONERIDGE DR

    BRANSON, MO 656163713

    Phone: (417) 334-7007

    Fax: (417) 334-7015

    Type: Mailing

  • 590 BIRCH RD, STE 1B

    HOLLISTER, MO 65672

    Phone: (417) 348-8580

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 65616)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1366443962 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Branson, Missouri in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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