MEDICARE: DOUGLAS R BARR MD

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	207R00000X	Internal Medicine Physician	014123	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1042227	OTHER	AETNA
2	026260	OTHER	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134180359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS R BARR MD

Provider Business Mailing Address
First Line	:	100 GANNETT DRIVE
Second Line	:	STE C
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106
Country	:	US
Telephone Number	:	207-347-2947
Fax Number	:	207-874-2317

Provider Business Practice Location Address
First Line	:	84 MARGINAL WAY
Second Line	:	SUITE 700
City	:	PORTLAND
State	:	ME
Zip	:	04101
Country	:	US
Telephone Number	:	207-774-5816
Fax Number	:	207-523-8597

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	04/02/2026

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Directions to “ DOUGLAS R BARR MD” Practice Location

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