Healthcare Provider Details

I. General information

NPI: 1932390432
Provider Name (Legal Business Name): BENJAMIN JACOB BARKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8585 PICARDY AVE
BATON ROUGE LA
70809-3748
US

IV. Provider business mailing address

10311 N LAKE ESTATES AVE
BATON ROUGE LA
70810-4776
US

V. Phone/Fax

Practice location:
  • Phone: 225-215-0800
  • Fax: 225-215-1380
Mailing address:
  • Phone: 504-638-2128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD203039
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: