Provider Demographics
NPI:1841333002
Name:BARNEY, DONALD RALPH (DO)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:RALPH
Last Name:BARNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5906 E 31ST ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5110
Mailing Address - Country:US
Mailing Address - Phone:918-508-7008
Mailing Address - Fax:918-508-7006
Practice Address - Street 1:5906 E 31ST ST
Practice Address - Street 2:SUITE 2
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5110
Practice Address - Country:US
Practice Address - Phone:918-508-7008
Practice Address - Fax:918-508-7006
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1709207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5806340001Medicare NSC
E07702Medicare UPIN
OK244714502Medicare PIN