Provider Demographics
NPI:1568401784
Name:OWENS, BARRINGTON R (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRINGTON
Middle Name:R
Last Name:OWENS
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 1:102 COLONY BAY HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-2814
Mailing Address - Country:US
Mailing Address - Phone:850-234-8730
Mailing Address - Fax:
Practice Address - Street 1:120 BECKRICH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32407-2521
Practice Address - Country:US
Practice Address - Phone:850-233-6922
Practice Address - Fax:850-235-8801
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79022208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009959155Medicaid
FL01123ZMedicare ID - Type Unspecified
FL009959155Medicaid