Provider Demographics
NPI:1770552267
Name:BARNHART, WILLIAM JASON (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JASON
Last Name:BARNHART
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 1:1721 DOLORES RIVER DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3358
Mailing Address - Country:US
Mailing Address - Phone:970-371-1143
Mailing Address - Fax:
Practice Address - Street 1:1721 DOLORES RIVER DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3358
Practice Address - Country:US
Practice Address - Phone:970-371-1143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO416482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H75316Medicare UPIN
513028Medicare ID - Type Unspecified