Provider Demographics
NPI:1851376610
Name:COLLINS, BARRY G (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:G
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7067 VETERANS PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125
Mailing Address - Country:US
Mailing Address - Phone:205-884-9000
Mailing Address - Fax:205-884-8111
Practice Address - Street 1:7067 VETERANS PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125
Practice Address - Country:US
Practice Address - Phone:205-884-9000
Practice Address - Fax:205-884-8111
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2016-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL22922207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009956940Medicaid
AL009956940Medicaid
AL009956940Medicaid