Provider Demographics
NPI:1336102755
Name:BARBUL, ADRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:BARBUL
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 1:3601 THE VANDERBILT CLINIC
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-5100
Mailing Address - Country:US
Mailing Address - Phone:615-322-3000
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5100
Practice Address - Country:US
Practice Address - Phone:615-322-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD22254208600000X, 2086S0102X
TNMD52315208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD20053248OtherR/R MEDICARE PROVIDER #
MDCC1923OtherR/R MEDICARE GROUP #
MD255381300Medicaid
MDCC3778OtherR/R MEDICARE GROUP #
MD20027722OtherR/R MEDICARE PROVIDER #
MDCC1923OtherR/R MEDICARE GROUP #
MDB66744Medicare UPIN
MD255381300Medicaid