Provider Demographics
NPI:1144244351
Name:BARNARD, BARBARA S (DO)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:BARNARD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7246
Mailing Address - Country:US
Mailing Address - Phone:601-579-5430
Mailing Address - Fax:601-579-5240
Practice Address - Street 1:415 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-7246
Practice Address - Country:US
Practice Address - Phone:601-579-5430
Practice Address - Fax:601-268-5819
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18630208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1343048Medicaid
MS640507572XOOtherAMERICAN ADMIN GROUP
MS2456420OtherUNITED HEALTHCARE
MS02186024Medicaid
LA1343048Medicaid
LA1343048Medicaid
MS250000064Medicare PIN