Provider Demographics
NPI:1568436780
Name:BARBIN, GARY KENT (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:KENT
Last Name:BARBIN
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:PO BOX 18962
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4084
Mailing Address - Country:US
Mailing Address - Phone:800-566-5050
Mailing Address - Fax:254-537-6201
Practice Address - Street 1:301 RICHLAND WEST CIR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7932
Practice Address - Country:US
Practice Address - Phone:254-756-7091
Practice Address - Fax:254-754-2666
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4188207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122972603Medicaid
TX122972605Medicaid
TX8BM490OtherBCBS
TX8K6126Medicare PIN
TX8BM490OtherBCBS
TX122972603Medicaid