Provider Demographics
NPI:1437230372
Name:BARKLEY, BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:BARKLEY
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 1:1000 S COULTER ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1781
Mailing Address - Country:US
Mailing Address - Phone:806-212-4700
Mailing Address - Fax:806-212-4730
Practice Address - Street 1:1000 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1781
Practice Address - Country:US
Practice Address - Phone:806-212-4700
Practice Address - Fax:806-212-4730
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0016207P00000X, 207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200033540AMedicaid
NM24273295Medicaid
TX149262101Medicaid
TX81128SOtherBLUE CROSS & BLUE SHIELD
TX81128SOtherBLUE CROSS & BLUE SHIELD
NM24273295Medicaid
TX8080K2Medicare PIN