Healthcare Provider Details

I. General information

NPI: 1598721300
Provider Name (Legal Business Name): BROOKE L BARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE MLC 7009
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE MLC 7009
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4830
  • Fax: 513-636-4868
Mailing address:
  • Phone: 513-636-4830
  • Fax: 513-636-4868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35.120766
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: