Provider Demographics
NPI:1922091180
Name:ALLEN, BARRY E (MD)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:E
Last Name:ALLEN
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 1:8247 RIVER ROAD PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209
Mailing Address - Country:US
Mailing Address - Phone:615-873-1237
Mailing Address - Fax:317-783-4107
Practice Address - Street 1:8247 RIVER ROAD PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209
Practice Address - Country:US
Practice Address - Phone:615-873-1237
Practice Address - Fax:317-783-4107
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10533632085R0202X
IN01053363A2085R0202X, 2085R0204X
TNMD00000251132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000189323OtherANTHEM
IN300120768OtherRAILROAD MEDICARE
P00032845OtherRAILROAD MEDICARE
P00033219OtherRAILROAD MEDICARE
P00032846OtherRAILROAD MEDICARE
P00032848OtherRAILROAD MEDICARE
P00032850OtherRAILROAD MEDICARE
P00033215OtherRAILROAD MEDICARE
P00033229OtherRAILROAD MEDICARE
P00032754OtherRAILROAD MEDICARE
P00033218OtherRAILROAD MEDICARE
P00346510OtherRAILROAD MEDICARE
IN200322330AMedicaid
P00033103OtherRAILROAD MEDICARE
P00033096OtherRAILROAD MEDICARE
151700XMedicare PIN
IN300120768OtherRAILROAD MEDICARE
P00032848OtherRAILROAD MEDICARE
P00033096OtherRAILROAD MEDICARE
152690GMedicare PIN