Provider Demographics
NPI:1417959263
Name:BARSHEL, BRENDA A (MD)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:A
Last Name:BARSHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:419-291-8993
Mailing Address - Fax:419-479-6102
Practice Address - Street 1:2142 N COVE BLVD
Practice Address - Street 2:5-SOUTH PEDIATRICS
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3895
Practice Address - Country:US
Practice Address - Phone:419-291-8993
Practice Address - Fax:419-479-6102
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060592208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI18609OtherHPM
OH4231213OtherAETNA
MI521189Medicaid
OH000000520834OtherANTHEM
OH05227OtherPHC
OH000000358001OtherANTHEM
OH0879974Medicaid
OH2974423632-012OtherMMO
OH05227OtherPARAMOUNT
OHF77858Medicare UPIN
OHBA4064763Medicare ID - Type Unspecified
OHBA4064762Medicare PIN
MI521189Medicaid