Provider Demographics
NPI:1518936681
Name:BILLINGS, BARRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:BILLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:622 LEIGHTON AVE
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207
Mailing Address - Country:US
Mailing Address - Phone:256-237-6717
Mailing Address - Fax:256-236-1920
Practice Address - Street 1:622 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-237-6717
Practice Address - Fax:256-237-6717
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00021107174400000X
AL21107208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051505694Medicaid
AL051505694OtherBLUE CROSS & BLUE SHIELD
ALG86317Medicare UPIN
AL051505694Medicare PIN
AL051505694OtherBLUE CROSS & BLUE SHIELD