Provider Demographics
NPI:1700017852
Name:BONY F BARRINEAU MD PC
Entity Type:Organization
Organization Name:BONY F BARRINEAU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:BONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARRINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-333-5049
Mailing Address - Street 1:303 WILLIAMS AVE SW
Mailing Address - Street 2:SUITE 1231
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6012
Mailing Address - Country:US
Mailing Address - Phone:256-532-1888
Mailing Address - Fax:256-532-3941
Practice Address - Street 1:2201 32ND STREET
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476
Practice Address - Country:US
Practice Address - Phone:205-333-5049
Practice Address - Fax:205-330-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9008207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1700017852Medicaid
AL051599043OtherBCBS OF AL
AL051599043OtherBCBS OF AL
ALC75304Medicare UPIN