Healthcare Provider Details

I. General information

NPI: 1043301641
Provider Name (Legal Business Name): BARRY SIMPSON LEVINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HERITAGE WAY STE 1100
KALISPELL MT
59901-3160
US

IV. Provider business mailing address

265 FOREST RD
SOUTH ORANGE NJ
07079-1630
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8900
  • Fax: 406-752-8909
Mailing address:
  • Phone: 908-242-7512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number148124
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA08589700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: