Healthcare Provider Details
I. General information
NPI: 1952307951
Provider Name (Legal Business Name): BILLIE J BARKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/23/2005
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
490 E NORTH AVE STE 305
PITTSBURGH PA
15212-4740
US
IV. Provider business mailing address
4 ALLEGHENY CTR FL 7
PITTSBURGH PA
15212-5227
US
V. Phone/Fax
- Phone: 412-359-6656
- Fax: 412-359-6653
- Phone: 412-359-6656
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 21205 |
| License Number State | WV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 0101238720 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | MD435906 |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | MD435906 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: