Healthcare Provider Details

I. General information

NPI: 1225109507
Provider Name (Legal Business Name): RICHARD JOHN BARNETT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 AIRPORT RD STE A
DESTIN FL
32541-2954
US

IV. Provider business mailing address

4620 SUNSET POINTE
DESTIN FL
32541-3791
US

V. Phone/Fax

Practice location:
  • Phone: 850-598-0099
  • Fax: 850-807-5162
Mailing address:
  • Phone: 850-598-0099
  • Fax: 850-807-5162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberME102510
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME102510
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number026204
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: