Healthcare Provider Details

I. General information

NPI: 1700912342
Provider Name (Legal Business Name): JAMES G. BARTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 W CARMEL DR
CARMEL IN
46032-5804
US

IV. Provider business mailing address

1325 E 82ND ST
INDIANAPOLIS IN
46240-2350
US

V. Phone/Fax

Practice location:
  • Phone: 317-575-7777
  • Fax:
Mailing address:
  • Phone: 317-726-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01027726A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: