Provider Demographics
NPI:1881697241
Name:BOHN, BARRY A (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:A
Last Name:BOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:609 GUILBEAU RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-8708
Mailing Address - Country:US
Mailing Address - Phone:337-981-6430
Mailing Address - Fax:337-981-9134
Practice Address - Street 1:609 GUILBEAU RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-8708
Practice Address - Country:US
Practice Address - Phone:337-981-6430
Practice Address - Fax:337-981-9134
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2011-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA10519207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1881697241OtherUNITED HEALTHCARE
LA1881697241OtherGILSBAR 360
LA1881697241OtherBESTCARE
LA1881697241OtherAMERICAN LIFECARE
LA1881697241OtherST. EMPLOYEES GROUP
LA1881697241OtherVERITY
LA1881697241OtherPHCS
LA1881697241OtherCOVENTRY
LA1881697241OtherBLUE CROSS & BLUE SHIELD
LA1881697241OtherPPO PLUS
LA4081410001Medicare NSC
LA1881697241OtherPHCS
LA1881697241OtherVERITY
LA50897-7166Medicare ID - Type Unspecified