MEDICARE: DR. RICHARD JOHN BARNETT M.D.

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	171000000X	Military Health Care Provider	ME102510	FL
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	ME102510	FL
3	171000000X	Military Health Care Provider	026204	LA

General Provider Information

NPI Number	:	1225109507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOHN BARNETT M.D.

Provider Business Mailing Address
First Line	:	4620 SUNSET POINTE
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-3791
Country	:	US
Telephone Number	:	850-598-0099
Fax Number	:	850-807-5162

Provider Business Practice Location Address
First Line	:	1241 AIRPORT RD STE A
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2954
Country	:	US
Telephone Number	:	850-598-0099
Fax Number	:	850-807-5162

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

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	04/06/2026

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