Provider Demographics
NPI:1740448240
Name:BARRIGER, ROBERT BRYAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRYAN
Last Name:BARRIGER
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 1:411 W TIPTON ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2363
Mailing Address - Country:US
Mailing Address - Phone:812-522-0480
Mailing Address - Fax:812-522-0195
Practice Address - Street 1:411 W TIPTON ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2363
Practice Address - Country:US
Practice Address - Phone:812-522-0480
Practice Address - Fax:812-522-0195
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY470782085R0001X
OH35.1234482085R0001X, 2085R0001X
IN01068253A2085R0001X
KYTP7222085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01160869OtherRAILROAD MEDICARE PIN
IN201000140Medicaid
OH0105572Medicaid
IN567230001Medicare PIN
IN065910005Medicare PIN
INM400065333Medicare PIN
KYK133750Medicare PIN
IN201000140Medicaid
OH0105572Medicaid