MEDICARE: DAVID BRADFORD BARKER 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	208100000X	Physical Medicine & Rehabilitation Physician	4301041890	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	118257	OTHER	MI	DEPARTMENT OF LABOR AND I
2	2508204793	OTHER	MI	BCBSM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	10349265800	OTHER	MI	US POSTAL SERVICE
5	A77168	OTHER	MI	HAP

General Provider Information

NPI Number	:	1265434567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BRADFORD BARKER MD

Provider Business Mailing Address
First Line	:	PO BOX 323
Second Line	:
City	:	WYANDOTTE
State	:	MI
Zip	:	48192-0323
Country	:	US
Telephone Number	:	734-246-6046
Fax Number	:	734-324-3618

Provider Business Practice Location Address
First Line	:	2333 BIDDLE ST
Second Line	:
City	:	WYANDOTTE
State	:	MI
Zip	:	48192-4668
Country	:	US
Telephone Number	:	734-246-6046
Fax Number	:	734-324-3618

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/14/2007

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Directions to “ DAVID BRADFORD BARKER MD” Practice Location

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