Provider Demographics
NPI:1629268263
Name:BARKER, KAREN B (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:BARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:BRUNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:251-633-7367
Practice Address - Street 1:8725 COUNTY ROAD 64
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526
Practice Address - Country:US
Practice Address - Phone:251-625-1370
Practice Address - Fax:251-625-1380
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245570207K00000X
AL35873208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL512-05647OtherBCBS
ALP01907802OtherRR MEDICARE
AL511-93270OtherBCBS
AL512-05646OtherBCBS
AL102I031848OtherMEDICARE
AL4960941OtherAETNA
AL5569791OtherCIGNA HC
AL201687Medicaid
AL202480Medicaid
AL212046Medicaid
ALZ98674OtherVIVA HEALTH
AL203708Medicaid
AL212073Medicaid
AL6431576OtherUHC
MS6982839OtherMS MEDICAID