Basic Information
Provider Information
NPI: 1275850463
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARRETT
FirstName: RICHARD
MiddleName: DAVID
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 1ST ST N
Address2: SHELBY HOSPITALISTS
City: ALABASTER
State: AL
PostalCode: 350078703
CountryCode: US
TelephoneNumber: 2056207004
FaxNumber:  
Practice Location
Address1: 1000 1ST ST N
Address2: SHELBY HOSPITALISTS
City: ALABASTER
State: AL
PostalCode: 350078703
CountryCode: US
TelephoneNumber: 2056207004
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2010
LastUpdateDate: 07/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X31314ALY Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X31314ALN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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