MEDICARE: WILLIAM F. BARNES, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center		OK

General Provider Information

NPI Number	:	1366492571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM F. BARNES, MD, PC

Provider Business Mailing Address
First Line	:	4200 S DOUGLAS AVE
Second Line	:	SUITE 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3223
Country	:	US
Telephone Number	:	405-644-5175
Fax Number	:	405-644-5176

Provider Business Practice Location Address
First Line	:	4200 S DOUGLAS AVE
Second Line	:	SUITE 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3223
Country	:	US
Telephone Number	:	405-644-5175
Fax Number	:	405-644-5176

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM FRANKLIN BARNES
Credential	:	M.D.
Telephone Number	:	405-644-5175

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	07/21/2022

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