Healthcare Provider Details

I. General information

NPI: 1841285426
Provider Name (Legal Business Name): BARRY L FREEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 W CARMEL DR # 200
CARMEL IN
46032-5898
US

IV. Provider business mailing address

735 W CARMEL DR # 200
CARMEL IN
46032-5898
US

V. Phone/Fax

Practice location:
  • Phone: 317-922-2377
  • Fax: 833-973-4744
Mailing address:
  • Phone: 317-922-2377
  • Fax: 833-973-4744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01046499A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01046499A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: