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1003876731 NPI number — BRUCE W BARTON MD

NPI Number: 1003876731
Health Care Provider/Practitioner: BRUCE W BARTON MD

Information about “1003876731” NPI (BRUCE W BARTON MD) exists in 1003876731 in HTML format HTML  |  1003876731 in plain Text format TXT  |  1003876731 in PDF (Portable Document Format) PDF  |  1003876731 in an XML format XML  formats.

NPI Number : 1003876731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003876731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARTON",
    "FirstName": "BRUCE",
    "MiddleName": "W",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "301 4TH STREET",
    "SecondLineMailingAddress": "BOX 30152",
    "MailingAddressCityName": "ALEXANDRIA",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71301-8421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-473-9701",
    "MailingAddressFaxNumber": "318-473-9705",
    "FirstLinePracticeLocationAddress": "201 4TH ST STE 3D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71301-8421",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-473-9701",
    "PracticeLocationAddressFaxNumber": "318-473-9705",
    "EnumerationDate": "03/25/2006",
    "LastUpdateDate": "02/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "017897",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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