Provider Demographics
NPI:1861501967
Name:BARNEY, NEIL (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:BARNEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GRANITE STATE CT
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-2127
Mailing Address - Country:US
Mailing Address - Phone:508-255-1100
Mailing Address - Fax:
Practice Address - Street 1:4 GRANITE STATE CT
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2127
Practice Address - Country:US
Practice Address - Phone:508-255-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1549213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4529602OtherAETNA - NONPAR
MA555281OtherUNITED HEALTHCARE
MA724503OtherTUFTS
MAY70630OtherBCBS
MA1135685OtherAETNA - HMO
MAAA5131OtherHARVARD PILGRIM #
MAY70630Medicare ID - Type Unspecified
MAAA5131OtherHARVARD PILGRIM #