Healthcare Provider Details

I. General information

NPI: 1003858523
Provider Name (Legal Business Name): BRIAN BARKEMEYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

IV. Provider business mailing address

200 HENRY CLAY AVE.
METAIRIE LA
70005-1739
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9418
  • Fax:
Mailing address:
  • Phone: 504-486-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number109502
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: