Provider Demographics
NPI:1891894499
Name:MURRAY, BARBARA M (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 ACADIAN DR
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-3545
Mailing Address - Country:US
Mailing Address - Phone:228-896-0008
Mailing Address - Fax:228-896-0811
Practice Address - Street 1:1097 ACADIAN DR
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3545
Practice Address - Country:US
Practice Address - Phone:228-896-0008
Practice Address - Fax:228-896-0811
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS131342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117593Medicaid
MS00117593Medicaid
MS260000431Medicare PIN
MS202I269372Medicare UPIN