Provider Demographics
NPI:1013989995
Name:CALLAHAN, BARRY S (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:S
Last Name:CALLAHAN
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:PO BOX 2447
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35403-2447
Mailing Address - Country:US
Mailing Address - Phone:205-345-0192
Mailing Address - Fax:205-464-4507
Practice Address - Street 1:305 PAUL W BRYANT DR E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2055
Practice Address - Country:US
Practice Address - Phone:205-345-0192
Practice Address - Fax:205-464-4507
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33914207X00000X, 207XS0106X
FLME102420207XS0106X
AL19772207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL206729Medicaid
TN4011644OtherBCBS OF TN
FL61852OtherBLUE CROSS BLUE SHIELD
AL207049Medicaid
AL208156Medicaid
AL206727Medicaid
TN3853851Medicaid
AL511-99733OtherBCBS
AL206198Medicaid
AL511-99731OtherBCBS
AL180360Medicaid
TN4010644OtherBCBS
AL511-71913OtherBCBS
AL511-99732OtherBCBS