MEDICARE: DR. DARREN WAYNE BAREFIELD M.D.

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	207RN0300X	Nephrology Physician	MD.021077	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	20367	OTHER	LA	CDS

General Provider Information

NPI Number	:	1417977836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARREN WAYNE BAREFIELD M.D.

Provider Business Mailing Address
First Line	:	7414 SUMRALL DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-1240
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7414 SUMRALL DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-1240
Country	:	US
Telephone Number	:	225-355-9786
Fax Number	:

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	12/02/2008

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