MEDICARE: DR. JAMES RUSSELL BARNA DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	5901001577	MI

General Provider Information

NPI Number	:	1114139391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES RUSSELL BARNA DPM

Provider Business Mailing Address
First Line	:	PO BOX 998
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-0998
Country	:	US
Telephone Number	:	248-581-4437
Fax Number	:	313-636-2320

Provider Business Practice Location Address
First Line	:	71 FOREST ST
Second Line	:
City	:	RIVER ROUGE
State	:	MI
Zip	:	48218-1534
Country	:	US
Telephone Number	:	734-397-7000
Fax Number	:	313-388-9264

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	06/06/2022

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