Provider Demographics
NPI:1841362811
Name:BIBER, BARBARA P (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:P
Last Name:BIBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 GANNETT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-3266
Mailing Address - Country:US
Mailing Address - Phone:207-482-7800
Mailing Address - Fax:
Practice Address - Street 1:22 BRAMHALL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3134
Practice Address - Country:US
Practice Address - Phone:207-662-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD130672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MM367001Medicare PIN
ME1041283OtherAETNA USHC
MED87920Medicare UPIN
ME270890099Medicaid
NH30010417Medicaid
ME026390OtherANTHEM
MED87920OtherHPHC
MEM56801OtherCIGNA
ME5179642OtherAETNA
MEMM3670Medicare ID - Type Unspecified
NHRE7121Medicare ID - Type Unspecified
NH01Y000256NH01OtherANTHEM
ME300064348Medicare ID - Type UnspecifiedRAILROAD