Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1023083722 Deactivated / Inactive NPI Male Practitioner

Dr. Brent K. Caudill , MD

General Practice • Salem, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brent Caudill has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2006
NPI Deactivation Date October 02, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Brent Caudill, MD was a registered General Practice practicing in Salem, MO. Throughout an active medical career spanning 18 years, Dr. Caudill provided care at the practice location at HWY 72 N until profile deactivation on 2024-10-02.

Practice Location & Contact Primary Location

Practice Address

Hwy 72 N

Salem, MO 65560

Telephone 5737296626
Fax 5737296502
Associated Practice Facility / Clinic
🏢 Salem Memorial Hospital Facility NPI 1639177561

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Salem, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Salem, MO (221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 109789

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Ralph Ford , MD

General Practice

NPI 1194704080

Doctor of Medicine (M.D.)

Dr. Morris Glover , DO

Family Medicine

NPI 1447416862

Doctor of Osteopathic Medicine (D.O.)

NPI 1467586222

LICENSEDDIETITIAN

Sarah Knott , PTA

Physical Therapy Assistant

NPI 1902346240

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2024

Record deactivated on October 02, 2024

NPI Profile Active September 15, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 15, 2011

Registered at HWY 72 N, SALEM, MO 65560 (Tel: 5737296626)

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Updated Business Mailing Address September 15, 2011

Registered at HWY 72 N, PO BOX 774, SALEM, MO 65560 (Tel: 5737296626)

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Provider Name / Credentials Updated September 15, 2011

Recorded as BRENT CAUDILL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2011

General Practice (License #109789 in MO)

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Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023083722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2006
Last Update: September 15, 2011
Deactivation Date: October 02, 2024

Mailing Address

Hwy 72 N, Po Box 774

Salem, MO 65560

Phone: 5737296626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.