Provider Demographics
NPI:1275567182
Name:BARTON, JAMES ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ROBERT
Last Name:BARTON
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 1:1450 JONES DAIRY RD
Mailing Address - Street 2:BUILDING 800
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-6106
Mailing Address - Country:US
Mailing Address - Phone:205-221-6758
Mailing Address - Fax:205-221-0592
Practice Address - Street 1:1450 JONES DAIRY RD
Practice Address - Street 2:BUILDING 800
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-6106
Practice Address - Country:US
Practice Address - Phone:205-221-6758
Practice Address - Fax:205-221-0592
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020220207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009931465Medicaid
AL051516612Medicare ID - Type Unspecified
AL009931465Medicaid