Ebo MD of Poplar Bluff LLC
NPI 1770152035 · Family Medicine Physician · Poplar Bluff, MO
Ebo MD of Poplar Bluff LLC is a Family Medicine Physician organization in Poplar Bluff, MO (NPI 1770152035).
Provider details
- NPI number
- 1770152035
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Crocker, Cfo(573) 686-5510
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-07-26
- Certified
- 2021-07-01
Frequently asked questions
- What is Ebo MD of Poplar Bluff LLC's NPI number?
- Ebo MD of Poplar Bluff LLC's National Provider Identifier (NPI) is 1770152035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebo MD of Poplar Bluff LLC?
- Ebo MD of Poplar Bluff LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ebo MD of Poplar Bluff LLC located?
- Ebo MD of Poplar Bluff LLC's practice location on file with NPPES is 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346.
- What is Ebo MD of Poplar Bluff LLC's phone number?
- The practice phone number listed in the NPPES registry for Ebo MD of Poplar Bluff LLC is (573) 686-5510.
- Who is the authorized official for Ebo MD of Poplar Bluff LLC?
- The authorized official listed on Ebo MD of Poplar Bluff LLC's NPPES record is Philip Crocker, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebo MD of Poplar Bluff LLC's NPI active?
- Yes — Ebo MD of Poplar Bluff LLC's NPI (1770152035) is active in the NPPES registry as of the last update on 2021-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.