Basic Information
Provider Information
NPI: 1851365829
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNES
FirstName: DAVID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 833 SAINT VINCENTS DR STE 300
Address2: POB III
City: BIRMINGHAM
State: AL
PostalCode: 352051612
CountryCode: US
TelephoneNumber: 2059394512
FaxNumber: 2059394519
Practice Location
Address1: 833 SAINT VINCENTS DR STE 300
Address2: POB III
City: BIRMINGHAM
State: AL
PostalCode: 352051612
CountryCode: US
TelephoneNumber: 2059394512
FaxNumber: 2059394519
Other Information
ProviderEnumerationDate: 02/15/2006
LastUpdateDate: 09/15/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XMD00011427ALY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

ID Information
IDTypeStateIssuerDescription
05103462201ALBCBS PROVIDER NUMBEROTHER
00003462205AL MEDICAID


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