Provider Demographics
NPI:1467556142
Name:BARGER, LINDA J (APRN BC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:BARGER
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:BACHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9054
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-9054
Mailing Address - Country:US
Mailing Address - Phone:423-467-3600
Mailing Address - Fax:423-467-3696
Practice Address - Street 1:26 MIDWAY ST
Practice Address - Street 2:BRISTOL REGIONAL COUNSELING CENTER
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620
Practice Address - Country:US
Practice Address - Phone:423-989-4500
Practice Address - Fax:423-989-4582
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC256101Y00000X
TNRN49958363L00000X
TNAPN5525363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
334969OtherVALUE OPTIONS
VA010158117Medicaid
62058260530OtherUBH JOHN DEERE
2299721933OtherCHAMPUS TRICARE
3065892OtherMAGELLAN SUMMIT
283935OtherMANAGED HEALTH NET
3065892OtherMAGELLAN PINNACLE
620582605OtherCARITEN PHP WORKCO
620582605OtherCARITEN PHP HMO
9423063OtherPHCS
3065892OtherMAGELLAN NAVIGATOR
620582605OtherCARITEN PHP POS
620582605OtherCARITEN SENIOR PPO
620582605OtherBEECH STREET
620582605OtherCARITEN PHP PPO
620582605OtherCARITEN PHP WORKCO
TN3640386Medicare ID - Type Unspecified
TN3729687Medicare ID - Type Unspecified
620582605OtherCARITEN PHP POS