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General NPI Number Information
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NPI Number | 1982601423
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Entity Type | Individual
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Provider Name | MICHAEL R. BARLOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4112 WATERMELON RD
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City | NORTHPORT
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State | AL
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Zip | 35473
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Country | US
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Telephone | 205-710-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 COLD HARBOR LN
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-1636
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Country | US
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Telephone | 205-710-3800
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Fax | 205-710-3799
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | MD26506
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD.26506
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License Number State | AL
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