Healthcare Provider Details

I. General information

NPI: 1659529469
Provider Name (Legal Business Name): MICHAEL BARNIDGE JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 HUDSON CIR STE 2
MONROE LA
71201
US

IV. Provider business mailing address

PO BOX 2184
MONROE LA
71207-2184
US

V. Phone/Fax

Practice location:
  • Phone: 318-387-3453
  • Fax: 318-323-9045
Mailing address:
  • Phone: 318-387-3453
  • Fax: 318-323-9045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD.205965
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberP3286
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: