Provider Demographics
NPI:1265484109
Name:BARNES, ROBERT B (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:BARNES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:723 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2017
Practice Address - Country:US
Practice Address - Phone:610-967-4830
Practice Address - Fax:484-403-4017
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS011102L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000146356OtherUNISON AB
PAP00155528OtherPALMETTO RR
PA50022271OtherCAPITAL BLUE CROSS
PA0018507440001Medicaid
PA1314436OtherHIGHMARK PA BLUE SHIELD
PA050763KZJMedicare PIN
PA50022271OtherCAPITAL BLUE CROSS
PA1314436OtherHIGHMARK PA BLUE SHIELD