Provider Demographics
NPI:1093773541
Name:BARRIER, BRETON FOSTER (MD)
Entity Type:Individual
Prefix:
First Name:BRETON
Middle Name:FOSTER
Last Name:BARRIER
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:PO BOX 7687
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7687
Mailing Address - Country:US
Mailing Address - Phone:573-882-2259
Mailing Address - Fax:
Practice Address - Street 1:2325 SMILEY LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1947
Practice Address - Country:US
Practice Address - Phone:573-817-3535
Practice Address - Fax:573-817-3536
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO110844207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO197808OtherBLUE CHOICE
MO206208506Medicaid
MO197808OtherBLUE SHIELD
MO701420OtherHEALTHLINK
MO931055236Medicare PIN
MO197808OtherBLUE SHIELD
MO197808OtherBLUE CHOICE
MO206208506Medicaid