Provider Demographics
NPI:1073878609
Name:BARBAREE, MICHAEL NICHOLAS (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:NICHOLAS
Last Name:BARBAREE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2221 MT VERNON LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4259
Mailing Address - Country:US
Mailing Address - Phone:334-372-4344
Mailing Address - Fax:334-528-2161
Practice Address - Street 1:2000 PEPPERELL PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5452
Practice Address - Country:US
Practice Address - Phone:334-528-1112
Practice Address - Fax:334-528-2161
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.061728207P00000X
ALDO.1501207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine