Healthcare Provider Details

I. General information

NPI: 1548693989
Provider Name (Legal Business Name): BRIAN C BARTON P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 HILLTOP DR STE 109
ROCK SPRINGS WY
82901-5861
US

IV. Provider business mailing address

1208 HILLTOP DR STE 103
ROCK SPRINGS WY
82901-5858
US

V. Phone/Fax

Practice location:
  • Phone: 307-212-6082
  • Fax: 307-224-2128
Mailing address:
  • Phone: 307-212-6082
  • Fax: 307-224-2128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberTL579
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA579
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: