MEDICARE: DR. ADAM P BARTA M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	K5801	TX
2	207Q00000X	Family Medicine Physician	K5801	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1386690477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM P BARTA M.D.

Provider Business Mailing Address
First Line	:	1601 RIO GRANDE ST
Second Line	:	SUITE 340
City	:	AUSTIN
State	:	TX
Zip	:	78701-1137
Country	:	US
Telephone Number	:	512-324-8960
Fax Number	:	512-324-8962

Provider Business Practice Location Address
First Line	:	1313 RED RIV STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1923
Country	:	US
Telephone Number	:	512-324-7318
Fax Number	:	521-324-8018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	11/05/2012

1313 RED RIVER ST , STE 100
AUSTIN, TX
78701-1923

Practice Phone: 512-324-8604
Practice Fax:

1313 RED RIVER ST STE 100 , AUSTIN MEDICAL EDUCATION FAMILY MEDICINE RESIDENCY
AUSTIN, TX
78701-1923