Provider Demographics
NPI:1114913373
Name:BARBER, BART ONIS (DO)
Entity Type:Individual
Prefix:DR
First Name:BART
Middle Name:ONIS
Last Name:BARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 GAULT AVE S
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35967-4741
Mailing Address - Country:US
Mailing Address - Phone:256-979-1972
Mailing Address - Fax:256-979-1974
Practice Address - Street 1:1600 GAULT AVE S
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-4741
Practice Address - Country:US
Practice Address - Phone:256-979-1972
Practice Address - Fax:256-979-1974
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037477207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000700235IMedicaid
GA000700235IMedicaid
GA000700235IMedicaid