Provider Demographics
NPI:1114139391
Name:BARNA, JAMES RUSSELL (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RUSSELL
Last Name:BARNA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 998
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-0998
Mailing Address - Country:US
Mailing Address - Phone:248-581-4437
Mailing Address - Fax:313-636-2320
Practice Address - Street 1:71 FOREST ST
Practice Address - Street 2:
Practice Address - City:RIVER ROUGE
Practice Address - State:MI
Practice Address - Zip Code:48218-1534
Practice Address - Country:US
Practice Address - Phone:734-397-7000
Practice Address - Fax:313-388-9264
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001577213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI3797Medicare PIN
U24869Medicare UPIN