Provider Demographics
NPI:1700039450
Name:BARNES, BRIAN CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CARL
Last Name:BARNES
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 1:126 WEMBLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3567
Mailing Address - Country:US
Mailing Address - Phone:337-981-9860
Mailing Address - Fax:337-991-9727
Practice Address - Street 1:126 WEMBLEY RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3567
Practice Address - Country:US
Practice Address - Phone:337-981-9860
Practice Address - Fax:337-991-9727
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05465R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine