Provider Demographics
NPI:1720098023
Name:POLLARD, BARRY L (MD)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:L
Last Name:POLLARD
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 1:102 S VAN BUREN
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-5866
Mailing Address - Country:US
Mailing Address - Phone:580-242-7030
Mailing Address - Fax:580-242-7033
Practice Address - Street 1:102 S VAN BUREN
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5866
Practice Address - Country:US
Practice Address - Phone:580-242-7030
Practice Address - Fax:580-242-7033
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11684207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100135710AMedicaid
OKC95365Medicare UPIN
OK1912021460Medicare PIN