Healthcare Provider Details

I. General information

NPI: 1023056868
Provider Name (Legal Business Name): WARRICK L BARRETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 E THOMPSON RD
INDIANAPOLIS IN
46237-2085
US

IV. Provider business mailing address

PO BOX 4780
BLOOMINGTON IN
47402-4780
US

V. Phone/Fax

Practice location:
  • Phone: 317-899-5546
  • Fax:
Mailing address:
  • Phone: 812-336-1690
  • Fax: 812-349-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01031033A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: