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NPI Code Detail

MEDICARE: BARKLEY SMITH

MEDICARE: BARKLEY SMITH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1811835093
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARKLEY SMITH
Provider Business Mailing Address
First Line : 1612 W BROADE ST
Second Line :
City : LEANDER
State : TX
Zip : 78641-4110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 451 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2054
Country : US
Telephone Number : 831-917-0217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ BARKLEY SMITH ” Practice Location

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