Healthcare Provider Details

I. General information

NPI: 1386960326
Provider Name (Legal Business Name): REGINALD D. BARNES JR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 04/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 F ST NW SUITE 802
WASHINGTON DC
20037-2715
US

IV. Provider business mailing address

2112 F ST NW SUITE 802
WASHINGTON DC
20037-2715
US

V. Phone/Fax

Practice location:
  • Phone: 202-331-1754
  • Fax: 202-331-1757
Mailing address:
  • Phone: 202-331-1754
  • Fax: 202-331-1757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD19770
License Number StateDC

VIII. Authorized Official

Name: DR. REGINALD D. BARNES JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 202-331-1754