Provider Demographics
NPI:1588665277
Name:BARNARD, HENRY H II (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:H
Last Name:BARNARD
Suffix:II
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 71367
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31708-1367
Mailing Address - Country:US
Mailing Address - Phone:229-435-0525
Mailing Address - Fax:229-434-9827
Practice Address - Street 1:2311 LAKE PARK DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3183
Practice Address - Country:US
Practice Address - Phone:229-435-0525
Practice Address - Fax:229-434-9827
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15198207XS0117X
GA027961207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009956235Medicaid
AL515-21770OtherBCBS OF AL- 4300 W. MAIN
AL009956225Medicaid
AL515-21769OtherBCBS OF AL- 1500 ROSS CLA
GA000325828FMedicaid
AL515-21769OtherBCBS OF AL- 1500 ROSS CLA
AL051521769BARMedicare ID - Type Unspecified
GA000325828FMedicaid