Provider Demographics
NPI:1477524718
Name:BARNES, THOMAS D (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:BARNES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4082 REDBUD CIR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-8821
Mailing Address - Country:US
Mailing Address - Phone:215-766-0705
Mailing Address - Fax:
Practice Address - Street 1:5049 SWAMP RD STE 302
Practice Address - Street 2:
Practice Address - City:FOUNTAINVILLE
Practice Address - State:PA
Practice Address - Zip Code:18923-9660
Practice Address - Country:US
Practice Address - Phone:215-489-2696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003663L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2917216OtherAETNA PROVIDER NUMBER
PA0090364000OtherKEYSTONE PLAN EAST
PA0090364000OtherINDEPENDENCE BLUE CROSS
PA0181905OtherHIGHMARK BLUE SHIELD
PA0090364000OtherINDEPENDENCE BLUE CROSS
PA29975Medicare UPIN