Healthcare Provider Details

I. General information

NPI: 1396821443
Provider Name (Legal Business Name): DAVID BARNARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 NINTH ST
JENA LA
71342-3900
US

IV. Provider business mailing address

PO BOX 2780
JENA LA
71342-2780
US

V. Phone/Fax

Practice location:
  • Phone: 318-992-9200
  • Fax: 318-992-9245
Mailing address:
  • Phone: 318-992-9200
  • Fax: 318-992-9245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number013394
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number013394
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: