MEDICARE: ADRIENNE BARRY MD, PHD

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	125069958	IL
2	207N00000X	Dermatology Physician	A159987	CA

General Provider Information

NPI Number	:	1316475270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE BARRY MD, PHD

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 1823
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4111
Country	:	US
Telephone Number	:	415-943-2343
Fax Number	:	415-907-2724

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 1823
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4111
Country	:	US
Telephone Number	:	415-943-2343
Fax Number	:	415-907-2724

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

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	03/07/2025

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