Healthcare Provider Details

I. General information

NPI: 1700967924
Provider Name (Legal Business Name): DARRON BARRUS D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 1ST ST N STE A
ALABASTER AL
35007-8767
US

IV. Provider business mailing address

PO BOX 1698
ALABASTER AL
35007
US

V. Phone/Fax

Practice location:
  • Phone: 205-663-3224
  • Fax: 205-663-3416
Mailing address:
  • Phone: 205-663-3224
  • Fax: 205-663-3416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number154
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number154
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number154
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License Number154
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number154
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number154
License Number StateAL
# 7
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number154
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: