Provider Demographics
NPI:1831189448
Name:BARKLEY, CRAIG STANLEY (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STANLEY
Last Name:BARKLEY
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 1:430 MORTON PLANT ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3398
Mailing Address - Country:US
Mailing Address - Phone:727-441-1508
Mailing Address - Fax:727-443-7780
Practice Address - Street 1:430 MORTON PLANT ST
Practice Address - Street 2:SUITE 206
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3398
Practice Address - Country:US
Practice Address - Phone:727-441-1508
Practice Address - Fax:727-443-7780
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57194174400000X
GA98491208800000X
IL036148112208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372598700Medicaid
FLE66586Medicare UPIN
FL372598700Medicaid