Provider Demographics
NPI:1770865032
Name:BARNEY, BRIAN RAYMOND (CRNA)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:RAYMOND
Last Name:BARNEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HEALTH CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2448
Mailing Address - Country:US
Mailing Address - Phone:540-458-3300
Mailing Address - Fax:540-981-7855
Practice Address - Street 1:1 HEALTH CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2448
Practice Address - Country:US
Practice Address - Phone:540-458-3300
Practice Address - Fax:540-981-7855
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172060367500000X
MI4704269488163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX307250601Medicaid
TX8436UDOtherBCBS
OK200454250AMedicaid
OK200454250AMedicaid