Provider Demographics
NPI:1073524823
Name:BARNETT, ALAN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOSEPH
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 MURRAY AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2418
Mailing Address - Country:US
Mailing Address - Phone:412-422-0800
Mailing Address - Fax:412-422-4340
Practice Address - Street 1:2627 MURRAY AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2418
Practice Address - Country:US
Practice Address - Phone:412-422-0800
Practice Address - Fax:412-422-4340
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019363E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000776660Medicaid
PA403648Medicare ID - Type Unspecified
C33469Medicare UPIN