Provider Demographics
NPI:1437157336
Name:BARRETT, JAMES PETER (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:BARRETT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 PENN AVENUE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609
Mailing Address - Country:US
Mailing Address - Phone:610-376-4880
Mailing Address - Fax:610-376-1344
Practice Address - Street 1:1719 PENN AVENUE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609
Practice Address - Country:US
Practice Address - Phone:610-376-4880
Practice Address - Fax:610-376-1344
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004092L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
03010300OtherCAPITAL BLUE CROSS
03010300OtherKEYSTONE HEALTH PLAN CENT
1378631OtherHIGHMARK BLUE SHIELD
480928OtherHIGHMARK BLUE SHIELD
480928OtherHIGHMARK BLUE SHIELD
480033107Medicare PIN
025140Medicare PIN