Healthcare Provider Details

I. General information

NPI: 1225425820
Provider Name (Legal Business Name): BARRETT FORD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE ROOM 436
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

1542 TULANE AVE # T4M2
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-5600
  • Fax:
Mailing address:
  • Phone: 504-568-4624
  • Fax: 504-568-2127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number322790
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: